Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $65.59 / $200.74	Facility		$64.34	$65.59	$200.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $65.59 / $75.59	Professional		$63.68	$65.59	$75.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $138.88 / $264.64	Facility		$73.98	$138.88	$264.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $64.88 / $64.88	Professional		$61.64	$64.88	$64.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $63.68 / $63.68	Professional		$47.55	$63.68	$63.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $95.52 / $179.03	Facility		$63.68	$95.52	$179.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $64.34 / $76.41	Professional		$63.68	$64.34	$76.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.10 / $71.84 / $73.23	Professional		$66.10	$71.84	$73.23
United Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $71.31 / $76.42	Professional		$63.68	$71.31	$76.42