Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $84.29 / $261.74	Facility		$36.10	$84.29	$261.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $72.34	Professional		$36.11	$36.11	$72.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.30 / $236.93 / $457.77	Facility		$122.30	$236.93	$457.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.87 / $82.75 / $98.51	Professional		$74.87	$82.75	$98.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $76.38 / $261.74	Facility		$36.10	$76.38	$261.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $74.84 / $93.56	Professional		$36.11	$74.84	$93.56
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 Facility Modifier Low / Median / High Price $67.43 / $67.43 / $67.43	Facility		$67.43	$67.43	$67.43
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $79.29 / $79.29	Professional		$79.29	$79.29	$79.29