Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.91 / $109.91 / $359.90	Facility		$109.91	$109.91	$359.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.29 / $109.91 / $109.91	Professional		$91.29	$109.91	$109.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.30 / $580.38 / $1,057.07	Facility		$291.30	$580.38	$1,057.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.84 / $192.46 / $259.82	Professional		$182.84	$192.46	$259.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $125.10 / $125.76	Facility		$122.08	$125.10	$125.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $153.97 / $153.97	Professional		$153.97	$153.97	$153.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $153.94	Facility		$107.42	$107.42	$153.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $107.42 / $223.13	Professional		$107.42	$107.42	$223.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $109.91 / $139.07 / $359.90	Facility		$109.91	$139.07	$359.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $139.07 / $202.08	Professional		$98.00	$139.07	$202.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.78 / $142.41 / $163.78	Professional		$116.78	$142.41	$163.78
United Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $85.00 / $108.82	Facility		$1.42	$85.00	$108.82
United Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $90.37 / $136.03	Professional		$67.15	$90.37	$136.03