Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.75 / $225.01 / $225.01	Facility		$184.75	$225.01	$225.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.60 / $225.01 / $225.01	Professional		$175.60	$225.01	$225.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.24 / $383.20 / $681.43	Facility		$278.24	$383.20	$681.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $288.64 / $323.48	Professional		$52.80	$288.64	$323.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.24 / $322.49 / $471.34	Professional		$183.24	$322.49	$471.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $170.26 / $170.26 / $225.01	Facility		$170.26	$170.26	$225.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $170.26 / $199.20 / $289.07	Professional		$170.26	$199.20	$289.07
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 $377.12 / $377.12 / $377.12	Facility		$377.12	$377.12	$377.12
United Facility/Professional Professional Modifier Low / Median / High Price $179.88 / $218.70 / $284.31	Professional		$179.88	$218.70	$284.31