Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.78 / $142.78 / $222.74	Facility		$142.78	$142.78	$222.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $142.78 / $173.81	Professional		$129.25	$142.78	$173.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.92 / $170.00 / $298.58	Facility		$121.92	$170.00	$298.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.08 / $112.72 / $120.61	Professional		$107.08	$112.72	$120.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $123.15 / $338.15	Professional		$76.45	$123.15	$338.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $135.63 / $142.78 / $262.36	Facility		$135.63	$142.78	$262.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $135.26 / $176.38 / $231.72	Professional		$135.26	$176.38	$231.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.44 / $136.88 / $167.99	Professional		$124.44	$136.88	$167.99
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $181.72 / $222.30	Professional		$90.17	$181.72	$222.30