Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $14,815.63 / $35,813.93	Facility		$24.89	$14,815.63	$35,813.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $24.89 / $26.44	Professional		$24.89	$24.89	$26.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,475.34 / $2,270.19 / $4,544.93	Facility		$1,475.34	$2,270.19	$4,544.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $30.68 / $37.14	Professional		$6.46	$30.68	$37.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $40.39	Professional		$31.11	$31.11	$40.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $14,815.63 / $35,813.93	Facility		$24.89	$14,815.63	$35,813.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $30.49 / $38.11	Professional		$24.89	$30.49	$38.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $1,500.00	Professional		$75.00	$75.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $33.01	Professional		$31.11	$31.11	$33.01