Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.75 / $468.62 / $848.87	Facility		$197.75	$468.62	$848.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.48 / $468.62 / $476.43	Professional		$378.48	$468.62	$476.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,242.00 / $2,474.54 / $4,506.95	Facility		$1,242.00	$2,474.54	$4,506.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.55 / $820.58 / $1,107.78	Professional		$779.55	$820.58	$1,107.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $488.31 / $533.38 / $568.95	Facility		$488.31	$533.38	$568.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $656.46 / $656.46 / $656.46	Professional		$656.46	$656.46	$656.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $488.53	Facility		$488.53	$488.53	$488.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.14 / $488.53 / $951.38	Professional		$408.14	$488.53	$951.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $197.75 / $593.00 / $858.96	Facility		$197.75	$593.00	$858.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $459.88 / $593.00 / $922.94	Professional		$459.88	$593.00	$922.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $516.14 / $607.23 / $698.31	Professional		$516.14	$607.23	$698.31
United Facility/Professional Professional Modifier Low / Median / High Price $281.70 / $385.36 / $587.30	Professional		$281.70	$385.36	$587.30