Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.68 / $192.68 / $192.68	Facility		$192.68	$192.68	$192.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $192.68 / $205.75	Professional		$181.22	$192.68	$205.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.68 / $1,017.46 / $1,853.14	Facility		$510.68	$1,017.46	$1,853.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.52 / $337.40 / $455.49	Professional		$320.52	$337.40	$455.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.31 / $264.27 / $292.42	Facility		$219.31	$264.27	$292.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.92 / $269.92 / $269.92	Professional		$269.92	$269.92	$269.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $218.27	Facility		$218.27	$218.27	$218.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.27 / $218.27 / $391.13	Professional		$218.27	$218.27	$391.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $192.68 / $243.83 / $243.83	Facility		$192.68	$243.83	$243.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $192.68 / $243.83 / $404.88	Professional		$192.68	$243.83	$404.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $121.00	Professional		$30.00	$30.00	$121.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $166.82 / $241.49	Professional		$131.80	$166.82	$241.49