Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.99 / $115.41	Facility		$36.61	$36.99	$115.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $36.61 / $43.45	Professional		$35.54	$36.61	$43.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $79.17 / $149.76	Facility		$43.95	$79.17	$149.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $36.22 / $36.22	Professional		$34.40	$36.22	$36.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $35.54 / $35.54	Professional		$13.89	$35.54	$35.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $46.24 / $102.93	Facility		$35.54	$46.24	$102.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $36.61 / $42.66	Professional		$35.54	$36.61	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $40.88 / $41.29	Professional		$39.08	$40.88	$41.29
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $37.71	Professional		$35.54	$35.54	$37.71