Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.11 / $84.11 / $105.97	Facility		$84.11	$84.11	$105.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.01 / $73.62 / $100.34	Professional		$55.01	$73.62	$100.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.54 / $189.50 / $533.51	Facility		$131.54	$189.50	$533.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.07 / $115.03 / $136.94	Professional		$104.07	$115.03	$136.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $81.59 / $136.13	Facility		$81.59	$81.59	$136.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $53.50 / $65.00	Facility		$53.50	$53.50	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $90.75 / $258.68	Professional		$65.56	$90.75	$258.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $81.59 / $105.97	Facility		$81.59	$81.59	$105.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $81.59 / $104.07	Professional		$68.48	$81.59	$104.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $66.98 / $93.71	Professional		$54.68	$66.98	$93.71
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $92.36 / $118.89	Professional		$71.31	$92.36	$118.89