Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.18 / $63.18 / $63.18	Facility		$63.18	$63.18	$63.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $76.50 / $115.10	Professional		$48.40	$76.50	$115.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $88.37 / $113.62	Professional		$79.95	$88.37	$113.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.51 / $67.09 / $69.43	Facility		$52.51	$67.09	$69.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $94.90 / $118.08	Professional		$90.38	$94.90	$118.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $73.63 / $116.32	Professional		$46.56	$73.63	$116.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $63.18 / $63.18 / $63.18	Facility		$63.18	$63.18	$63.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $91.73 / $120.85	Professional		$56.03	$91.73	$120.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $94.57 / $96.23	Professional		$63.05	$94.57	$96.23
United Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $103.22 / $127.79	Professional		$63.65	$103.22	$127.79