Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $80.90 / $80.90	Facility		$80.90	$80.90	$80.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $80.90 / $85.96	Professional		$80.90	$80.90	$85.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.49 / $155.21 / $309.38	Facility		$100.49	$155.21	$309.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $101.30 / $131.49	Professional		$92.53	$101.30	$131.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $114.03	Professional		$85.96	$85.96	$114.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $101.13 / $101.13	Facility		$80.90	$101.13	$101.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $101.13 / $121.35	Professional		$80.90	$101.13	$121.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $1,500.00	Professional		$75.00	$75.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $147.09	Professional		$136.47	$136.47	$147.09