Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.32 / $413.32 / $644.78	Facility		$413.32	$413.32	$644.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.16 / $413.32 / $413.32	Professional		$374.16	$413.32	$413.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.93 / $492.13 / $864.34	Facility		$352.93	$492.13	$864.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.99 / $326.30 / $349.14	Professional		$309.99	$326.30	$349.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $435.07 / $978.91	Professional		$62.73	$435.07	$978.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $409.31 / $413.32 / $759.48	Facility		$409.31	$413.32	$759.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $348.06 / $409.31 / $522.08	Professional		$348.06	$409.31	$522.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $360.24 / $396.26 / $486.32	Professional		$360.24	$396.26	$486.32
United Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $261.04 / $435.07	Professional		$182.73	$261.04	$435.07