Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.41 / $2,845.70 / $4,237.59	Facility		$98.41	$2,845.70	$4,237.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $127.52 / $186.17	Professional		$75.50	$127.52	$186.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,681.47 / $3,125.35 / $4,234.35	Facility		$2,681.47	$3,125.35	$4,234.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $125.50 / $169.43	Professional		$21.34	$125.50	$169.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.16 / $96.43 / $107.03	Facility		$91.16	$96.43	$107.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.60 / $151.47 / $155.49	Professional		$144.60	$151.47	$155.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $132.27 / $343.86	Professional		$72.55	$132.27	$343.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.33 / $2,877.00 / $4,933.00	Facility		$103.33	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $145.06 / $203.54	Professional		$98.40	$145.06	$203.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $168.68 / $236.61	Professional		$137.22	$168.68	$236.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.34 / $168.98 / $229.95	Professional		$139.34	$168.98	$229.95