Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.26 / $91.66 / $129.58	Facility		$88.26	$91.66	$129.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $88.26 / $129.58	Professional		$58.14	$88.26	$129.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $106.20 / $241.92	Facility		$72.45	$106.20	$241.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $103.08 / $172.00	Professional		$18.22	$103.08	$172.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $98.75 / $179.96	Professional		$66.27	$98.75	$179.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $88.26 / $91.91 / $124.78	Facility		$88.26	$91.91	$124.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.54 / $99.06 / $150.63	Professional		$87.54	$99.06	$150.63
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 $96.68 / $114.41 / $161.47	Professional		$96.68	$114.41	$161.47