Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.79 / $212.13 / $212.13	Facility		$181.79	$212.13	$212.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.17 / $212.13 / $212.13	Professional		$165.17	$212.13	$212.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.63 / $376.85 / $670.15	Facility		$273.63	$376.85	$670.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $273.89 / $328.67	Professional		$35.47	$273.89	$328.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $304.87 / $435.89	Professional		$173.09	$304.87	$435.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $158.41 / $158.41 / $212.13	Facility		$158.41	$158.41	$212.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $185.33 / $273.02	Professional		$158.41	$185.33	$273.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $169.62 / $227.84	Professional		$33.83	$169.62	$227.84
United Facility/Professional Facility Modifier Low / Median / High Price $489.40 / $489.40 / $489.40	Facility		$489.40	$489.40	$489.40
United Facility/Professional Professional Modifier Low / Median / High Price $172.95 / $206.07 / $322.00	Professional		$172.95	$206.07	$322.00