Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.18 / $317.18 / $495.00	Facility		$317.18	$317.18	$495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.96 / $317.18 / $317.18	Professional		$205.96	$317.18	$317.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $471.12 / $936.70 / $1,809.79	Facility		$471.12	$936.70	$1,809.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.58 / $333.24 / $333.24	Professional		$316.58	$333.24	$333.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.25 / $139.25 / $207.44	Professional		$139.25	$139.25	$207.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $259.44 / $259.44 / $317.18	Facility		$259.44	$259.44	$317.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $259.44 / $291.79 / $390.51	Professional		$259.44	$291.79	$390.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $160.13 / $160.13	Professional		$160.13	$160.13	$160.13
United Facility/Professional Professional Modifier Low / Median / High Price $166.25 / $260.82 / $415.62	Professional		$166.25	$260.82	$415.62