Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $190.00 / $296.39	Facility		$190.00	$190.00	$296.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $190.00 / $190.00	Professional		$172.00	$190.00	$190.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.24 / $226.23 / $397.34	Facility		$162.24	$226.23	$397.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $150.00 / $160.50	Professional		$142.50	$150.00	$160.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $243.67 / $450.00	Professional		$91.47	$243.67	$450.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $188.16 / $190.00 / $349.13	Facility		$188.16	$190.00	$349.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $188.16 / $190.00 / $401.00	Professional		$188.16	$190.00	$401.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $182.16 / $223.56	Professional		$165.60	$182.16	$223.56
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $120.00 / $200.00	Professional		$84.00	$120.00	$200.00