Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.51 / $164.51 / $256.64	Facility		$164.51	$164.51	$256.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.93 / $164.51 / $164.51	Professional		$148.93	$164.51	$164.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.47 / $195.89 / $344.04	Facility		$140.47	$195.89	$344.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $129.88 / $138.97	Professional		$123.39	$129.88	$138.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $142.09 / $263.80	Professional		$88.00	$142.09	$263.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $146.79 / $164.51 / $302.29	Facility		$146.79	$164.51	$302.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $146.79 / $164.51 / $235.51	Professional		$146.79	$164.51	$235.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $157.71 / $193.56	Professional		$143.38	$157.71	$193.56
United Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $155.15 / $249.53	Professional		$96.58	$155.15	$249.53