Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.51 / $309.51 / $541.64	Facility		$309.51	$309.51	$541.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $309.51 / $309.51	Professional		$162.90	$309.51	$309.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.71 / $365.21 / $647.26	Facility		$254.71	$365.21	$647.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.16 / $244.35 / $329.87	Professional		$166.16	$244.35	$329.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $244.35 / $325.80 / $796.22	Facility		$244.35	$325.80	$796.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.77 / $211.77 / $325.80	Professional		$211.77	$211.77	$325.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $374.18 / $467.72	Professional		$88.69	$374.18	$467.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $149.04 / $309.51 / $568.73	Facility		$149.04	$309.51	$568.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $149.04 / $280.19 / $390.96	Professional		$149.04	$280.19	$390.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.78 / $269.76 / $364.17	Professional		$242.78	$269.76	$364.17
United Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $95.13 / $195.48	Professional		$66.59	$95.13	$195.48