Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $127.93 / $206.88	Facility		$10.19	$127.93	$206.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $12.91 / $22.35	Professional		$7.25	$12.91	$22.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $72.63 / $102.18	Facility		$62.26	$72.63	$102.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $5.78 / $9.61	Professional		$1.38	$5.78	$9.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.65 / $31.65 / $31.65	Facility		$31.65	$31.65	$31.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $12.50 / $30.21	Professional		$6.61	$12.50	$30.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $119.59 / $4,933.00	Facility		$10.19	$119.59	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $15.73 / $22.35	Professional		$8.09	$15.73	$22.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
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 $13.12 / $17.01 / $26.59	Professional		$13.12	$17.01	$26.59