Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $169.73 / $3,138.14	Facility		$169.73	$169.73	$3,138.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $169.73 / $431.26	Professional		$113.32	$169.73	$431.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.02 / $187.23 / $325.41	Facility		$131.02	$187.23	$325.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $158.65 / $244.83	Professional		$102.59	$158.65	$244.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.54 / $165.54 / $165.54	Facility		$165.54	$165.54	$165.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $251.11 / $553.99	Professional		$127.67	$251.11	$553.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $86.82 / $170.11 / $3,138.14	Facility		$86.82	$170.11	$3,138.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $152.40 / $170.11 / $342.88	Professional		$152.40	$170.11	$342.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $78.84 / $152.74	Professional		$35.58	$78.84	$152.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,861.66 / $2,861.66 / $2,861.66	Facility		$2,861.66	$2,861.66	$2,861.66
United Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $205.82 / $463.75	Professional		$152.57	$205.82	$463.75