Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.94 / $220.51 / $220.51	Facility		$169.94	$220.51	$220.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.33 / $220.51 / $220.51	Professional		$171.33	$220.51	$220.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.77 / $352.25 / $626.39	Facility		$255.77	$352.25	$626.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.24 / $270.12 / $341.21	Professional		$63.24	$270.12	$341.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.89 / $285.79 / $418.90	Professional		$173.89	$285.79	$418.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $151.66 / $151.66 / $220.51	Facility		$151.66	$151.66	$220.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $151.66 / $189.58 / $283.51	Professional		$151.66	$189.58	$283.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $148.79 / $223.19	Professional		$34.36	$148.79	$223.19
United Facility/Professional Professional Modifier Low / Median / High Price $177.34 / $203.91 / $269.51	Professional		$177.34	$203.91	$269.51