Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $123.57 / $162.33	Facility		$119.00	$123.57	$162.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.68 / $123.57 / $162.33	Professional		$86.68	$123.57	$162.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.88 / $136.97 / $311.27	Facility		$95.88	$136.97	$311.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $142.91 / $246.55	Professional		$24.30	$142.91	$246.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $127.03 / $226.69	Professional		$87.96	$127.03	$226.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $99.39 / $99.39 / $156.32	Facility		$99.39	$99.39	$156.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $123.57 / $188.14	Professional		$99.39	$123.57	$188.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.78 / $144.21	Professional		$81.79	$101.78	$144.21
United Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $1,155.00 / $1,844.00	Facility		$193.60	$1,155.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.54 / $139.86 / $200.48	Professional		$113.54	$139.86	$200.48