Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.39 / $399.39 / $399.39	Facility		$399.39	$399.39	$399.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.07 / $355.02 / $399.39	Professional		$240.07	$355.02	$399.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,236.58 / $1,648.74 / $2,159.06	Facility		$1,236.58	$1,648.74	$2,159.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $427.10 / $606.92	Professional		$44.96	$427.10	$606.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $312.66 / $480.04	Facility		$31.27	$312.66	$480.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $359.66 / $609.90	Professional		$35.97	$359.66	$609.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $416.18	Facility		$310.87	$310.87	$416.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.87 / $378.06 / $481.92	Professional		$310.87	$378.06	$481.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $399.39 / $714.42	Professional		$53.24	$399.39	$714.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $53.00 / $481.92	Professional		$39.51	$53.00	$481.92
United Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $341.96 / $458.34	Professional		$192.13	$341.96	$458.34