Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $50.38 / $50.38	Facility		$50.38	$50.38	$50.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $50.38 / $50.38	Professional		$50.38	$50.38	$50.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.78 / $38.84 / $82.59	Facility		$20.78	$38.84	$82.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $55.54 / $74.98	Professional		$37.77	$55.54	$74.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $50.38 / $50.38	Facility		$50.38	$50.38	$50.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $50.38 / $50.38	Professional		$34.01	$50.38	$50.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00