Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.78 / $50.78 / $50.78	Facility		$50.78	$50.78	$50.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $50.78 / $50.78	Professional		$40.09	$50.78	$50.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.59 / $268.14 / $488.38	Facility		$134.59	$268.14	$488.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.47 / $88.92 / $120.04	Professional		$84.47	$88.92	$120.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.54 / $50.02 / $57.80	Facility		$49.54	$50.02	$57.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $71.14 / $71.14	Professional		$71.14	$71.14	$71.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $54.54	Facility		$54.54	$54.54	$54.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $54.54 / $103.13	Professional		$54.54	$54.54	$103.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.78 / $64.26 / $64.26	Facility		$50.78	$64.26	$64.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $64.26 / $93.36	Professional		$50.31	$64.26	$93.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $65.80 / $75.67	Professional		$55.93	$65.80	$75.67
United Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $41.19 / $62.85	Professional		$29.77	$41.19	$62.85