Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $121.17 / $4,933.00	Facility		$44.49	$121.17	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $61.43 / $137.18	Professional		$29.94	$61.43	$137.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.87 / $153.69 / $208.23	Facility		$131.87	$153.69	$208.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $25.89 / $54.49	Professional		$7.41	$25.89	$54.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $38.78 / $52.35	Facility		$35.25	$38.78	$52.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $103.58 / $154.63	Professional		$98.30	$103.58	$154.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $71.61 / $186.17	Professional		$33.33	$71.61	$186.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $121.17 / $4,933.00	Facility		$56.05	$121.17	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $68.02 / $154.11	Professional		$44.49	$68.02	$154.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.32 / $141.24	Professional		$81.79	$101.32	$141.24
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 $73.68 / $107.29 / $144.35	Professional		$73.68	$107.29	$144.35