Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.22 / $112.54 / $347.01	Facility		$111.22	$112.54	$347.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $112.54 / $112.54	Professional		$111.22	$112.54	$112.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.09 / $255.97 / $484.21	Facility		$142.09	$255.97	$484.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $117.11 / $117.11	Professional		$111.25	$117.11	$117.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $119.58 / $119.58	Professional		$91.80	$119.58	$119.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $112.54 / $140.68 / $309.47	Facility		$112.54	$140.68	$309.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $124.27 / $149.12	Professional		$111.22	$124.27	$149.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $184.20	Professional		$30.00	$30.00	$184.20
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $124.38	Professional		$117.24	$117.24	$124.38