Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $109.29 / $123.34	Professional		$54.99	$109.29	$123.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.25 / $147.25 / $147.25	Facility		$147.25	$147.25	$147.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.88 / $154.61 / $198.79	Professional		$139.88	$154.61	$198.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $213.28	Professional		$63.92	$63.92	$213.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $109.29 / $137.03	Professional		$88.44	$109.29	$137.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $103.50 / $162.00	Professional		$90.00	$103.50	$162.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $67.92 / $88.53	Professional		$52.02	$67.92	$88.53