Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.15 / $97.15 / $151.55	Facility		$97.15	$97.15	$151.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $97.15 / $140.43	Professional		$51.13	$97.15	$140.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.96 / $115.68 / $203.17	Facility		$82.96	$115.68	$203.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $76.70 / $82.07	Professional		$72.87	$76.70	$82.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.26 / $151.87 / $249.92	Facility		$102.26	$151.87	$249.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $127.83 / $138.05	Professional		$102.26	$127.83	$138.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $51.77 / $230.09	Professional		$40.90	$51.77	$230.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $96.21 / $97.15 / $178.51	Facility		$96.21	$97.15	$178.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $96.21 / $97.15 / $173.84	Professional		$96.21	$97.15	$173.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $93.13 / $114.30	Professional		$84.67	$93.13	$114.30
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $61.36 / $102.26	Professional		$42.95	$61.36	$102.26