Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $98.45 / $190.51	Facility		$73.73	$98.45	$190.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $74.83 / $74.83	Professional		$33.14	$74.83	$74.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $88.30 / $156.50	Facility		$61.58	$88.30	$156.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $59.08 / $79.76	Professional		$40.17	$59.08	$79.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.08 / $78.77 / $192.51	Facility		$59.08	$78.77	$192.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $51.20 / $78.77	Professional		$51.20	$51.20	$78.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $90.86 / $113.58	Professional		$18.05	$90.86	$113.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $81.73 / $190.51	Facility		$67.34	$81.73	$190.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $67.73 / $94.52	Professional		$27.95	$67.73	$94.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $65.22 / $88.04	Professional		$58.69	$65.22	$88.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $18.04 / $47.26	Professional		$12.87	$18.04	$47.26