Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.32 / $215.32 / $215.32	Facility		$215.32	$215.32	$215.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.96 / $215.32 / $230.32	Professional		$186.96	$215.32	$230.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $570.67 / $1,137.00 / $2,070.85	Facility		$570.67	$1,137.00	$2,070.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.19 / $377.04 / $509.00	Professional		$358.19	$377.04	$509.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.02 / $237.99 / $245.08	Facility		$231.02	$237.99	$245.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $301.63 / $301.63 / $301.63	Professional		$301.63	$301.63	$301.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $243.89	Facility		$243.89	$243.89	$243.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $313.50 / $546.55	Professional		$178.04	$313.50	$546.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $215.32 / $272.45 / $272.45	Facility		$215.32	$272.45	$272.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $215.32 / $272.45 / $395.89	Professional		$215.32	$272.45	$395.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.78 / $279.01 / $320.86	Professional		$228.78	$279.01	$320.86
United Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $177.31 / $271.33	Professional		$138.84	$177.31	$271.33