Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.70	Facility		$45.70	$45.70	$45.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $45.70 / $48.56	Professional		$45.70	$45.70	$48.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.93 / $379.86 / $757.15	Facility		$245.93	$379.86	$757.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $104.00 / $135.00	Professional		$95.00	$104.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $166.50	Professional		$48.56	$48.56	$166.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $147.22 / $147.22	Facility		$45.70	$147.22	$147.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $147.22 / $193.04	Professional		$45.70	$147.22	$193.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $220.83	Professional		$30.00	$55.00	$220.83
United Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $57.13 / $60.61	Professional		$57.13	$57.13	$60.61