Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.28 / $192.28 / $299.95	Facility		$192.28	$192.28	$299.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.06 / $192.28 / $192.28	Professional		$174.06	$192.28	$192.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.19 / $228.94 / $402.10	Facility		$164.19	$228.94	$402.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $151.80 / $162.43	Professional		$144.21	$151.80	$162.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $114.54 / $308.20	Professional		$87.86	$114.54	$308.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $192.28 / $192.28 / $353.31	Facility		$192.28	$192.28	$353.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $192.28 / $270.00 / $275.26	Professional		$192.28	$270.00	$275.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.59 / $184.34 / $226.24	Professional		$167.59	$184.34	$226.24
United Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $114.41 / $190.68	Professional		$80.09	$114.41	$190.68