Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.60 / $122.60 / $265.00	Facility		$122.60	$122.60	$265.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $107.39 / $122.60	Professional		$90.76	$107.39	$122.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.28 / $179.28 / $179.28	Facility		$179.28	$179.28	$179.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.35 / $179.28 / $224.10	Professional		$161.35	$179.28	$224.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.81 / $141.06 / $221.46	Professional		$131.81	$141.06	$221.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $111.54 / $111.54 / $122.60	Facility		$111.54	$111.54	$122.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $118.09 / $174.98	Professional		$95.54	$118.09	$174.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $134.94 / $189.34	Professional		$109.20	$134.94	$189.34
United Facility/Professional Professional Modifier Low / Median / High Price $99.74 / $125.05 / $175.40	Professional		$99.74	$125.05	$175.40