Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $26.03 / $56.53	Facility		$12.24	$26.03	$56.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $26.03 / $32.75	Professional		$25.27	$26.03	$32.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.23 / $56.28 / $106.43	Facility		$31.23	$56.28	$106.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $13.38 / $13.38	Professional		$12.71	$13.38	$13.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $25.27 / $32.79	Professional		$10.94	$25.27	$32.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $37.90 / $80.04	Facility		$19.89	$37.90	$80.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $26.03 / $30.32	Professional		$25.27	$26.03	$30.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $31.13 / $33.39	Professional		$29.06	$31.13	$33.39
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $26.81	Professional		$25.27	$25.27	$26.81