Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $275.39 / $275.39	Facility		$275.39	$275.39	$275.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $302.93	Professional		$275.39	$275.39	$302.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.58 / $590.14 / $1,116.36	Facility		$327.58	$590.14	$1,116.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $256.50 / $270.00	Professional		$256.50	$256.50	$270.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Professional		$302.39	$302.39	$302.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $286.20 / $324.00	Facility		$275.39	$286.20	$324.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $286.20 / $343.44	Professional		$275.39	$286.20	$343.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $296.81 / $324.00	Professional		$247.34	$296.81	$324.00