Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.41 / $118.41 / $608.44	Facility		$118.41	$118.41	$608.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $118.41 / $118.41	Professional		$107.19	$118.41	$118.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $140.99 / $247.62	Facility		$101.11	$140.99	$247.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $93.48 / $100.02	Professional		$88.81	$93.48	$100.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $129.63	Facility		$129.63	$129.63	$129.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $62.33 / $173.26	Professional		$38.31	$62.33	$173.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $78.17 / $118.41 / $608.44	Facility		$78.17	$118.41	$608.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $90.67 / $149.57	Professional		$78.17	$90.67	$149.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $50.20 / $75.34	Professional		$36.39	$50.20	$75.34