Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.25 / $246.45 / $360.52	Facility		$79.25	$246.45	$360.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $204.13 / $326.26	Professional		$117.35	$204.13	$326.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.29 / $114.69 / $168.62	Facility		$98.29	$114.69	$168.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $191.37 / $330.21	Professional		$34.64	$191.37	$330.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.23 / $173.62 / $319.11	Professional		$87.23	$173.62	$319.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $99.53 / $251.98 / $4,933.00	Facility		$99.53	$251.98	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $230.99 / $354.38	Professional		$156.00	$230.99	$354.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $187.72 / $275.41	Professional		$145.99	$187.72	$275.41
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.15 / $252.89 / $401.18	Professional		$202.15	$252.89	$401.18