Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $42.34 / $131.97	Facility		$42.30	$42.34	$131.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $42.34 / $49.68	Professional		$41.11	$42.34	$49.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.75 / $89.65 / $170.83	Facility		$47.75	$89.65	$170.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $41.88 / $41.88	Professional		$39.79	$41.88	$41.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.60	Professional		$41.11	$41.11	$41.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $53.93 / $117.70	Facility		$41.11	$53.93	$117.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $42.30 / $49.33	Professional		$41.11	$42.30	$49.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $47.21 / $47.27	Professional		$46.73	$47.21	$47.27
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $43.61	Professional		$41.11	$41.11	$43.61