Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $10.08 / $1,956.15	Facility		$9.60	$10.08	$1,956.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $22.86	Professional		$9.60	$9.60	$22.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.24 / $178.69 / $345.24	Facility		$92.24	$178.69	$345.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $62.41 / $74.30	Professional		$56.47	$62.41	$74.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $195.53 / $195.53	Professional		$195.53	$195.53	$195.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $70.81 / $1,956.15	Facility		$9.60	$70.81	$1,956.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $70.81 / $88.52	Professional		$9.60	$70.81	$88.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $79.29 / $79.29	Professional		$79.29	$79.29	$79.29