Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.36 / $162.87 / $191.61	Facility		$143.36	$162.87	$191.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $162.33 / $195.90	Professional		$119.39	$162.33	$195.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.48 / $299.22 / $369.75	Professional		$259.48	$299.22	$369.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.38 / $106.54 / $250.05	Facility		$89.38	$106.54	$250.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.89 / $206.89 / $206.89	Professional		$206.89	$206.89	$206.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.77 / $171.77 / $380.90	Professional		$171.77	$171.77	$380.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $170.10 / $205.49	Professional		$139.21	$170.10	$205.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.51 / $188.60 / $216.11	Professional		$172.51	$188.60	$216.11
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $182.61 / $228.26	Professional		$156.69	$182.61	$228.26