Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $73.45 / $202.00	Facility		$73.45	$73.45	$202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $73.45 / $82.71	Professional		$54.54	$73.45	$82.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.05 / $110.05 / $110.05	Facility		$110.05	$110.05	$110.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $110.05 / $137.56	Professional		$99.05	$110.05	$137.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $81.75 / $190.08	Professional		$65.77	$81.75	$190.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $79.06 / $79.06	Facility		$73.45	$79.06	$79.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $79.06 / $94.89	Professional		$68.86	$79.06	$94.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $101.35 / $144.16	Professional		$82.15	$101.35	$144.16
United Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $89.32 / $110.90	Professional		$77.14	$89.32	$110.90