Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.50 / $142.50 / $222.30	Facility		$142.50	$142.50	$222.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.25 / $142.50 / $142.50	Professional		$128.25	$142.50	$142.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.93 / $99.93 / $105.19	Facility		$99.93	$99.93	$105.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $105.19 / $117.00	Professional		$99.93	$105.19	$117.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $166.13 / $337.50	Professional		$87.75	$166.13	$337.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $142.50 / $142.50 / $261.83	Facility		$142.50	$142.50	$261.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $144.00 / $180.00	Professional		$142.50	$144.00	$180.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $150.00	Professional		$63.00	$90.00	$150.00