Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.28 / $385.44 / $952.38	Facility		$234.28	$385.44	$952.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.26 / $234.29 / $234.29	Professional		$182.26	$234.29	$234.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $410.25 / $410.25 / $410.25	Facility		$410.25	$410.25	$410.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.74 / $410.25 / $553.84	Professional		$389.74	$410.25	$553.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $235.96 / $238.84 / $266.66	Facility		$235.96	$238.84	$266.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $328.20 / $328.20 / $328.20	Professional		$328.20	$328.20	$328.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $274.27	Facility		$274.27	$274.27	$274.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $274.27 / $475.50	Professional		$233.13	$274.27	$475.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $234.29 / $569.77 / $1,076.45	Facility		$234.29	$569.77	$1,076.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $234.29 / $296.47 / $461.43	Professional		$234.29	$296.47	$461.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.31 / $196.13 / $272.89	Professional		$128.31	$196.13	$272.89