Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.04 / $146.69 / $4,933.00	Facility		$97.04	$146.69	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $112.06 / $212.63	Professional		$70.97	$112.06	$212.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $943.85 / $1,100.08 / $1,490.44	Facility		$943.85	$1,100.08	$1,490.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $88.90 / $136.24	Professional		$17.79	$88.90	$136.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $86.72 / $117.10	Facility		$78.84	$86.72	$117.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.71 / $128.54 / $191.48	Professional		$120.71	$128.54	$191.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $113.93 / $362.56	Professional		$73.09	$113.93	$362.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $101.90 / $184.50 / $4,933.00	Facility		$101.90	$184.50	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $119.86 / $197.74	Professional		$92.70	$119.86	$197.74
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 $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.45 / $135.66 / $176.57	Professional		$115.45	$135.66	$176.57