Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.68 / $109.68 / $109.68	Facility		$109.68	$109.68	$109.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $109.68 / $109.68	Professional		$65.98	$109.68	$109.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.97 / $184.86 / $321.29	Facility		$129.97	$184.86	$321.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $142.41 / $170.90	Professional		$27.72	$142.41	$170.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.86 / $108.86 / $108.86	Facility		$108.86	$108.86	$108.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $100.96 / $204.18	Professional		$69.20	$100.96	$204.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $66.70 / $109.68	Facility		$66.70	$66.70	$109.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $93.32 / $140.60	Professional		$66.70	$93.32	$140.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $65.61 / $89.34	Professional		$52.62	$65.61	$89.34
United Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $88.80 / $126.67	Professional		$72.59	$88.80	$126.67