Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.40 / $161.41 / $222.75	Facility		$161.40	$161.41	$222.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $161.41 / $168.70	Professional		$101.15	$161.41	$168.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.83 / $192.19 / $337.55	Facility		$137.83	$192.19	$337.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.06 / $127.43 / $136.35	Professional		$121.06	$127.43	$136.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.90 / $252.35 / $415.22	Facility		$169.90	$252.35	$415.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $212.38 / $229.37	Professional		$169.90	$212.38	$229.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $77.77 / $236.27	Professional		$59.45	$77.77	$236.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $121.29 / $161.41 / $296.58	Facility		$121.29	$161.41	$296.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $121.29 / $159.04 / $203.88	Professional		$121.29	$159.04	$203.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.68 / $154.74 / $189.91	Professional		$140.68	$154.74	$189.91
United Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $77.42 / $129.03	Professional		$54.19	$77.42	$129.03