Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.43 / $191.43 / $643.73	Facility		$191.43	$191.43	$643.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $191.43 / $191.43	Professional		$161.19	$191.43	$191.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.46 / $227.93 / $400.33	Facility		$163.46	$227.93	$400.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.57 / $151.13 / $161.71	Professional		$143.57	$151.13	$161.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.56 / $209.56 / $209.56	Facility		$209.56	$209.56	$209.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.05 / $165.13 / $453.38	Professional		$102.05	$165.13	$453.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $191.43 / $201.50 / $643.73	Facility		$191.43	$201.50	$643.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $258.41 / $276.70	Professional		$171.28	$258.41	$276.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $166.84 / $183.52 / $225.23	Professional		$166.84	$183.52	$225.23
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $150.91 / $261.95	Professional		$84.63	$150.91	$261.95