Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.16 / $84.15 / $262.55	Facility		$81.16	$84.15	$262.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $81.98 / $98.86	Professional		$81.16	$81.98	$98.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $171.86 / $327.45	Facility		$91.54	$171.86	$327.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.27 / $80.28 / $80.28	Professional		$76.27	$80.28	$80.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $78.79 / $78.79	Professional		$38.71	$78.79	$78.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $118.20 / $234.15	Facility		$78.80	$118.20	$234.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $81.16 / $94.56	Professional		$78.80	$81.16	$94.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $93.16 / $93.95	Professional		$90.62	$93.16	$93.95
United Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $78.75 / $78.75	Facility		$78.75	$78.75	$78.75
United Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $88.26 / $96.14	Professional		$78.80	$88.26	$96.14