Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $417.21 / $2,240.53	Facility		$112.36	$417.21	$2,240.53
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $56.18 / $75.06 / $197.28	Facility	52	$56.18	$75.06	$197.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $118.06 / $203.48	Professional		$86.67	$118.06	$203.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.57 / $440.07 / $596.23	Facility		$377.57	$440.07	$596.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $120.81 / $184.67	Professional		$19.55	$120.81	$184.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.57 / $108.68 / $186.81	Facility		$90.57	$108.68	$186.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $132.19 / $196.72	Professional		$123.38	$132.19	$196.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $130.71 / $411.48	Professional		$90.80	$130.71	$411.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $114.38 / $391.45 / $2,240.53	Facility		$114.38	$391.45	$2,240.53
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $56.18 / $75.06 / $197.28	Facility	52	$56.18	$75.06	$197.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $131.41 / $197.93	Professional		$108.27	$131.41	$197.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $119.07 / $168.26	Professional		$89.21	$119.07	$168.26
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.81 / $140.97 / $192.24	Professional		$113.81	$140.97	$192.24