Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.21 / $366.21 / $366.21	Facility		$366.21	$366.21	$366.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.19 / $365.18 / $366.21	Professional		$254.19	$365.18	$366.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.30 / $1,309.33 / $2,286.13	Facility		$134.30	$1,309.33	$2,286.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $357.03 / $642.65	Professional		$34.79	$357.03	$642.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.95 / $248.38 / $370.85	Facility		$30.95	$248.38	$370.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $285.62 / $407.58	Professional		$38.09	$285.62	$407.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.53 / $331.53 / $331.53	Facility		$331.53	$331.53	$331.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.53 / $333.92 / $552.00	Professional		$331.53	$333.92	$552.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $254.19 / $366.21 / $509.48	Professional		$254.19	$366.21	$509.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $6.81 / $30.00	Professional		$6.81	$6.81	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.87 / $266.26 / $414.63	Professional		$184.87	$266.26	$414.63