Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.09 / $190.64 / $396.52	Facility		$127.09	$190.64	$396.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $103.62 / $171.86	Professional		$93.39	$103.62	$171.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.34 / $163.34 / $163.34	Facility		$163.34	$163.34	$163.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $163.34 / $220.51	Professional		$155.16	$163.34	$220.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $160.47 / $239.94	Professional		$95.41	$160.47	$239.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $86.72 / $190.64 / $870.32	Facility		$86.72	$190.64	$870.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $103.62 / $179.62	Professional		$86.72	$103.62	$179.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $98.87 / $121.29	Professional		$82.15	$98.87	$121.29
United Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $125.52 / $183.18	Professional		$97.04	$125.52	$183.18