Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.14 / $347.14 / $347.14	Facility		$347.14	$347.14	$347.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.66 / $347.14 / $347.14	Professional		$300.66	$347.14	$347.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $920.03 / $1,833.06 / $3,338.61	Facility		$920.03	$1,833.06	$3,338.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.47 / $607.86 / $820.61	Professional		$577.47	$607.86	$820.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.51 / $395.11 / $398.74	Facility		$371.51	$395.11	$398.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $486.29 / $486.29 / $486.29	Professional		$486.29	$486.29	$486.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.44 / $328.44 / $328.44	Facility		$328.44	$328.44	$328.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.44 / $328.44 / $704.63	Professional		$328.44	$328.44	$704.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $347.14 / $439.25 / $439.25	Facility		$347.14	$439.25	$439.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $326.49 / $439.25 / $638.25	Professional		$326.49	$439.25	$638.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $368.85 / $449.82 / $517.29	Professional		$368.85	$449.82	$517.29
United Facility/Professional Professional Modifier Low / Median / High Price $205.32 / $285.44 / $429.61	Professional		$205.32	$285.44	$429.61