Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.12 / $244.58 / $381.55	Facility		$220.12	$244.58	$381.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.41 / $244.58 / $244.58	Professional		$221.41	$244.58	$244.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.85 / $291.22 / $511.48	Facility		$208.85	$291.22	$511.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.44 / $193.09 / $206.61	Professional		$183.44	$193.09	$206.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.93 / $210.99 / $579.26	Professional		$130.93	$210.99	$579.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $220.12 / $244.58 / $449.42	Facility		$220.12	$244.58	$449.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $224.38 / $342.76 / $386.18	Professional		$224.38	$342.76	$386.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.17 / $234.48 / $287.77	Professional		$213.17	$234.48	$287.77
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $210.73 / $359.69	Professional		$108.13	$210.73	$359.69