Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.68 / $168.68 / $263.14	Facility		$168.68	$168.68	$263.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $168.68 / $168.68	Professional		$145.60	$168.68	$168.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.51 / $124.51 / $124.51	Facility		$124.51	$124.51	$124.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $124.51 / $168.09	Professional		$84.67	$124.51	$168.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $204.02 / $255.03	Professional		$85.23	$204.02	$255.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $167.05 / $168.68 / $309.95	Facility		$167.05	$168.68	$309.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $167.05 / $168.68 / $213.07	Professional		$167.05	$168.68	$213.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.31 / $147.02 / $198.47	Professional		$132.31	$147.02	$198.47
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $106.54 / $177.56	Professional		$74.58	$106.54	$177.56