Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.40 / $148.40 / $148.40	Facility		$148.40	$148.40	$148.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $148.40 / $188.39	Professional		$91.05	$148.40	$188.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.76 / $176.92 / $307.50	Facility		$127.76	$176.92	$307.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $181.67 / $212.70	Professional		$80.18	$181.67	$212.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.54 / $143.54 / $143.54	Facility		$143.54	$143.54	$143.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.42 / $227.08 / $528.37	Professional		$114.42	$227.08	$528.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $83.86 / $151.96 / $151.96	Facility		$83.86	$151.96	$151.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $124.76 / $151.96 / $212.74	Professional		$124.76	$151.96	$212.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $78.84 / $152.74	Professional		$34.95	$78.84	$152.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,294.38 / $5,259.42 / $8,859.82	Facility		$2,294.38	$5,259.42	$8,859.82
United Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $175.21 / $408.94	Professional		$133.03	$175.21	$408.94