Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $171.15 / $171.15	Facility		$171.15	$171.15	$171.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $361.77	Professional		$171.15	$171.15	$361.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.86 / $1,115.56 / $2,155.36	Facility		$575.86	$1,115.56	$2,155.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.52 / $389.62 / $463.84	Professional		$352.52	$389.62	$463.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.60 / $533.88 / $858.00	Professional		$445.60	$533.88	$858.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $320.32 / $326.86	Facility		$171.15	$320.32	$326.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $320.32 / $392.23	Professional		$171.15	$320.32	$392.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.93 / $699.93 / $699.93	Professional		$699.93	$699.93	$699.93