Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.37 / $156.37 / $156.37	Facility		$156.37	$156.37	$156.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.94 / $156.37 / $156.37	Professional		$116.94	$156.37	$156.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.44 / $825.73 / $1,503.93	Facility		$414.44	$825.73	$1,503.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.13 / $273.82 / $369.66	Professional		$260.13	$273.82	$369.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.34 / $155.02 / $177.98	Facility		$146.34	$155.02	$177.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.06 / $219.06 / $219.06	Professional		$219.06	$219.06	$219.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $194.51	Facility		$194.51	$194.51	$194.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.51 / $194.51 / $317.63	Professional		$194.51	$194.51	$317.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $156.37 / $197.88 / $197.88	Facility		$156.37	$197.88	$197.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $153.52 / $197.88 / $287.51	Professional		$153.52	$197.88	$287.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $166.15 / $202.63 / $233.02	Professional		$166.15	$202.63	$233.02
United Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $130.90 / $182.97	Professional		$93.60	$130.90	$182.97