Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.86 / $58.00 / $111.35	Facility		$55.86	$58.00	$111.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $74.15 / $111.35	Professional		$40.88	$74.15	$111.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.80 / $114.02 / $259.74	Facility		$77.80	$114.02	$259.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $47.61 / $79.48	Professional		$12.05	$47.61	$79.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $73.94 / $135.59	Professional		$43.76	$73.94	$135.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $55.86 / $82.22 / $107.23	Facility		$55.86	$82.22	$107.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $83.72 / $132.44	Professional		$58.00	$83.72	$132.44
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 $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $96.59 / $149.09	Professional		$79.89	$96.59	$149.09