Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $104.36 / $138.55	Professional		$58.82	$104.36	$138.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.00 / $129.00 / $129.00	Facility		$129.00	$129.00	$129.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.55 / $135.44 / $174.15	Professional		$122.55	$135.44	$174.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $187.03	Professional		$61.92	$61.92	$187.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $104.36 / $138.55	Professional		$77.56	$104.36	$138.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $18.96 / $29.68	Professional		$16.48	$18.96	$29.68
United Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $60.58 / $77.55	Professional		$50.39	$60.58	$77.55