Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.47 / $31.73 / $99.00	Facility		$29.47	$31.73	$99.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $29.47 / $37.27	Professional		$28.61	$29.47	$37.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $63.71 / $120.53	Facility		$35.36	$63.71	$120.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $28.95 / $28.95	Professional		$27.50	$28.95	$28.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $181.35	Professional		$28.61	$28.61	$181.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $55.53 / $168.40	Facility		$28.61	$55.53	$168.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $29.47 / $37.33	Professional		$28.61	$29.47	$37.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $32.90 / $35.42	Professional		$25.55	$32.90	$35.42
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $30.36	Professional		$28.61	$28.61	$30.36