Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $248.71 / $248.71	Facility		$248.71	$248.71	$248.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $248.71 / $287.08	Professional		$248.71	$248.71	$287.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $948.58 / $1,837.60 / $3,550.40	Facility		$948.58	$1,837.60	$3,550.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.69 / $641.80 / $764.06	Professional		$580.69	$641.80	$764.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $79.20 / $79.20	Professional		$79.20	$79.20	$79.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $463.97 / $463.97	Facility		$248.71	$463.97	$463.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $463.97 / $568.12	Professional		$248.71	$463.97	$568.12
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 $197.62 / $197.62 / $699.93	Professional		$197.62	$197.62	$699.93