Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.01 / $404.87 / $3,472.04	Facility		$65.01	$404.87	$3,472.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $65.02 / $98.25	Professional		$33.27	$65.02	$98.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.86 / $470.03 / $1,083.92	Facility		$343.86	$470.03	$1,083.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $68.06 / $98.69	Professional		$13.72	$68.06	$98.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $56.55 / $76.34	Facility		$51.41	$56.55	$76.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $75.59 / $111.86	Professional		$68.31	$75.59	$111.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $64.30 / $215.81	Professional		$45.33	$64.30	$215.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $86.92 / $4,933.00	Facility		$65.02	$86.92	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $73.58 / $107.59	Professional		$49.10	$73.58	$107.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $67.87 / $95.12	Professional		$54.90	$67.87	$95.12
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 $65.03 / $80.36 / $101.76	Professional		$65.03	$80.36	$101.76