Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.19 / $35.21 / $109.79	Facility		$35.19	$35.21	$109.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $35.21 / $41.35	Professional		$34.18	$35.21	$41.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.25 / $76.11 / $143.97	Facility		$42.25	$76.11	$143.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $34.82 / $34.82	Professional		$33.08	$34.82	$34.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $34.18 / $34.18	Professional		$10.52	$34.18	$34.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $43.99 / $97.92	Facility		$34.18	$43.99	$97.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $35.19 / $41.01	Professional		$34.18	$35.19	$41.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.03 / $39.29 / $39.30	Professional		$38.03	$39.29	$39.30
United Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $36.26	Professional		$34.18	$34.18	$36.26