Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $91.22 / $151.16	Facility		$54.54	$91.22	$151.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $61.89 / $104.90	Professional		$39.47	$61.89	$104.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.10 / $137.63 / $186.49	Facility		$118.10	$137.63	$186.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $35.29 / $72.63	Professional		$8.43	$35.29	$72.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $68.64 / $184.16	Professional		$39.47	$68.64	$184.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $69.13 / $246.82	Facility		$54.54	$69.13	$246.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $69.13 / $100.48	Professional		$54.54	$69.13	$100.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $67.87 / $95.12	Professional		$54.90	$67.87	$95.12
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $79.68 / $102.78	Professional		$67.89	$79.68	$102.78