Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.51 / $142.77 / $169.88	Facility		$113.51	$142.77	$169.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.78 / $134.83 / $209.41	Professional		$125.78	$134.83	$209.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.68 / $289.45 / $547.55	Facility		$160.68	$289.45	$547.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $125.81 / $132.43	Professional		$125.81	$125.81	$132.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.83 / $148.32 / $148.32	Professional		$73.83	$148.32	$148.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $113.51 / $142.77 / $173.93	Facility		$113.51	$142.77	$173.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $134.83 / $160.52	Professional		$128.04	$134.83	$160.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $152.00 / $198.27	Professional		$152.00	$152.00	$198.27
United Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $158.62 / $163.72	Professional		$132.43	$158.62	$163.72