Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $92.50 / $92.50	Facility		$92.50	$92.50	$92.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $92.50 / $92.50	Professional		$69.79	$92.50	$92.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.15 / $488.44 / $889.60	Facility		$245.15	$488.44	$889.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.87 / $161.97 / $218.66	Professional		$153.87	$161.97	$218.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.24 / $86.24 / $105.28	Facility		$86.24	$86.24	$105.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.58 / $129.58 / $129.58	Professional		$129.58	$129.58	$129.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $106.22	Facility		$106.22	$106.22	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $106.22 / $187.88	Professional		$106.22	$106.22	$187.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $117.03 / $117.03	Facility		$92.50	$117.03	$117.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $117.03 / $170.06	Professional		$85.07	$117.03	$170.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.88 / $119.86 / $137.83	Professional		$101.88	$119.86	$137.83
United Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $65.59 / $83.98	Facility		$51.00	$65.59	$83.98
United Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $74.70 / $110.32	Professional		$51.83	$74.70	$110.32