Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $558.08 / $3,472.04	Facility		$181.00	$558.08	$3,472.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $191.42 / $320.00	Professional		$109.01	$191.42	$320.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $976.10 / $1,334.24 / $3,076.86	Facility		$976.10	$1,334.24	$3,076.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $179.74 / $310.58	Professional		$43.71	$179.74	$310.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.57 / $160.13 / $216.21	Facility		$145.57	$160.13	$216.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.18 / $238.39 / $353.80	Professional		$219.18	$238.39	$353.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $228.93 / $628.73	Professional		$132.79	$228.93	$628.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $181.01 / $417.75 / $4,933.00	Facility		$181.01	$417.75	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $158.31 / $233.87 / $326.87	Professional		$158.31	$233.87	$326.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $235.97 / $329.20	Professional		$192.13	$235.97	$329.20
United Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $1,209.00 / $2,029.00	Facility		$700.00	$1,209.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.03 / $272.16 / $365.18	Professional		$221.03	$272.16	$365.18