Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.80 / $222.80 / $222.80	Facility		$222.80	$222.80	$222.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.32 / $212.00 / $222.80	Professional		$139.32	$212.00	$222.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $21.07 / $21.07	Facility		$21.07	$21.07	$21.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $260.25 / $369.83	Professional		$20.02	$260.25	$369.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $31.73 / $317.31	Facility		$16.67	$31.73	$317.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $20.87 / $313.08	Professional		$20.87	$20.87	$313.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $178.86	Facility		$178.86	$178.86	$178.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $194.43 / $379.69	Professional		$20.14	$194.43	$379.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $135.97 / $222.80	Facility		$135.97	$135.97	$222.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $136.96 / $260.89	Professional		$26.09	$136.96	$260.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $129.15 / $277.76	Professional		$22.77	$129.15	$277.76
United Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $136.69 / $214.20	Professional		$93.47	$136.69	$214.20