Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.76 / $609.76 / $951.23	Facility		$609.76	$609.76	$951.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.83 / $609.76 / $850.00	Professional		$287.83	$609.76	$850.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.66 / $726.03 / $1,275.15	Facility		$520.66	$726.03	$1,275.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.32 / $481.39 / $515.09	Professional		$457.32	$481.39	$515.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $641.85 / $770.22 / $1,540.44	Facility		$641.85	$770.22	$1,540.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $802.31 / $866.50	Professional		$641.85	$802.31	$866.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.61 / $272.79 / $892.86	Professional		$132.61	$272.79	$892.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $571.83 / $609.76 / $1,120.43	Facility		$571.83	$609.76	$1,120.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $545.57 / $795.66 / $872.91	Professional		$545.57	$795.66	$872.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $531.46 / $584.60 / $717.47	Professional		$531.46	$584.60	$717.47
United Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $183.06 / $385.11	Professional		$120.89	$183.06	$385.11