Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $3,234.47 / $4,070.86	Facility		$15.54	$3,234.47	$4,070.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.56 / $18.25	Professional		$15.11	$15.56	$18.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.67 / $33.65 / $63.63	Facility		$18.67	$33.65	$63.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $13.29 / $15.39	Professional		$12.63	$13.29	$15.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $15.11 / $15.11	Professional		$7.99	$15.11	$15.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $22.67 / $4,070.86	Facility		$15.11	$22.67	$4,070.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.54 / $18.13	Professional		$15.11	$15.54	$18.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $17.34 / $17.37	Professional		$16.95	$17.34	$17.37
United Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $16.03	Professional		$15.11	$15.11	$16.03