Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $142.38 / $142.38	Facility		$142.38	$142.38	$142.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $142.38 / $151.27	Professional		$142.38	$142.38	$151.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Facility		$4.09	$4.09	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $142.38 / $142.38	Facility		$142.38	$142.38	$142.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $142.38 / $151.27	Professional		$142.38	$142.38	$151.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $174.38	Professional		$161.79	$161.79	$174.38