Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $374.40	Facility		$120.00	$120.00	$374.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $269.72 / $510.22	Facility		$149.72	$269.72	$510.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.23 / $123.40 / $123.40	Professional		$117.23	$123.40	$123.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $150.00 / $333.90	Facility		$120.00	$150.00	$333.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $132.50 / $159.00	Professional		$120.00	$132.50	$159.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.75 / $198.75 / $198.75	Professional		$198.75	$198.75	$198.75
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $150.00	Professional		$125.00	$125.00	$150.00