Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.41 / $189.41 / $259.62	Facility		$158.41	$189.41	$259.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $219.81 / $357.00	Professional		$175.00	$219.81	$357.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.48 / $471.04 / $891.07	Facility		$261.48	$471.04	$891.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.73 / $204.73 / $215.51	Professional		$204.73	$204.73	$215.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $241.37 / $241.37	Professional		$164.39	$241.37	$241.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $158.41 / $203.74 / $291.39	Facility		$158.41	$203.74	$291.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $219.81 / $300.00	Professional		$182.00	$219.81	$300.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $314.65 / $314.65 / $314.65	Professional		$314.65	$314.65	$314.65
United Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $258.61 / $266.44	Professional		$215.51	$258.61	$266.44