Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.59 / $183.59 / $321.27	Facility		$183.59	$183.59	$321.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.26 / $183.59 / $183.59	Professional		$164.26	$183.59	$183.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.77 / $218.60 / $383.93	Facility		$156.77	$218.60	$383.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $144.94 / $155.09	Professional		$137.69	$144.94	$155.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $115.61 / $294.26	Professional		$88.33	$115.61	$294.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $181.81 / $183.59 / $337.35	Facility		$181.81	$183.59	$337.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $181.81 / $183.59 / $231.90	Professional		$181.81	$183.59	$231.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.02 / $176.02 / $288.03	Professional		$160.02	$176.02	$288.03
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $193.25	Professional		$81.17	$115.95	$193.25