Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.40 / $430.40 / $430.40	Facility		$430.40	$430.40	$430.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.51 / $387.00 / $430.40	Professional		$279.51	$387.00	$430.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,511.59 / $2,015.44 / $2,639.25	Facility		$1,511.59	$2,015.44	$2,639.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $522.09 / $741.92	Professional		$40.15	$522.09	$741.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $44.28 / $442.96	Facility		$33.33	$44.28	$442.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $41.87 / $628.08	Professional		$41.87	$41.87	$628.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.81 / $382.81 / $382.81	Facility		$382.81	$382.81	$382.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $382.81 / $611.25	Professional		$40.29	$382.81	$611.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $276.77 / $523.40	Professional		$52.34	$276.77	$523.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $177.33 / $236.44	Professional		$30.00	$177.33	$236.44
United Facility/Professional Professional Modifier Low / Median / High Price $178.14 / $230.47 / $342.37	Professional		$178.14	$230.47	$342.37