Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.70 / $182.70 / $288.48	Facility		$182.70	$182.70	$288.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.40 / $182.70 / $238.73	Professional		$165.40	$182.70	$238.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.01 / $217.54 / $382.08	Facility		$156.01	$217.54	$382.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.03 / $144.24 / $154.34	Professional		$137.03	$144.24	$154.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $192.32 / $432.72	Professional		$88.00	$192.32	$432.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $182.70 / $182.70 / $900.00	Facility		$182.70	$182.70	$900.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $261.55 / $900.00	Professional		$163.47	$261.55	$900.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $111.46 / $191.21	Professional		$80.77	$111.46	$191.21