Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.26 / $95.26 / $95.26	Facility		$95.26	$95.26	$95.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $95.26 / $95.26	Professional		$58.86	$95.26	$95.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.44 / $329.19 / $663.46	Facility		$204.44	$329.19	$663.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $57.81 / $94.23	Professional		$40.69	$57.81	$94.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $105.42 / $269.54	Professional		$64.67	$105.42	$269.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $70.66 / $95.26	Facility		$60.55	$70.66	$95.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $85.18 / $186.64	Professional		$70.66	$85.18	$186.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $35.97 / $49.75	Professional		$27.68	$35.97	$49.75
United Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $130.06 / $206.52	Professional		$78.23	$130.06	$206.52