Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.37 / $146.37 / $4,933.00	Facility		$74.37	$146.37	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $116.34 / $219.78	Professional		$73.70	$116.34	$219.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.87 / $196.82 / $266.66	Facility		$168.87	$196.82	$266.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $61.17 / $117.65	Professional		$16.00	$61.17	$117.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.80 / $65.78 / $88.82	Facility		$59.80	$65.78	$88.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $103.79 / $153.82	Professional		$94.78	$103.79	$153.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $115.03 / $287.54	Professional		$66.70	$115.03	$287.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $233.77 / $4,933.00	Facility		$93.70	$233.77	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $116.97 / $210.40	Professional		$74.37	$116.97	$210.40
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 $101.49 / $146.22 / $208.85	Professional		$101.49	$146.22	$208.85