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 $134.83 / $134.83 / $141.93	Facility		$134.83	$134.83	$141.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $141.93 / $157.87	Professional		$134.83	$141.93	$157.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $121.00 / $281.72	Professional		$92.63	$121.00	$281.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $190.42 / $192.28 / $353.31	Facility		$190.42	$192.28	$353.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $190.42 / $192.28 / $242.88	Professional		$190.42	$192.28	$242.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.59 / $184.34 / $301.66	Professional		$167.59	$184.34	$301.66
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $121.44 / $202.40	Professional		$85.01	$121.44	$202.40