Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $231.19 / $4,271.34	Facility		$109.76	$231.19	$4,271.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $135.96 / $231.19	Professional		$85.79	$135.96	$231.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,146.73 / $2,502.09 / $3,389.93	Facility		$2,146.73	$2,502.09	$3,389.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $139.44 / $188.24	Professional		$22.51	$139.44	$188.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.49 / $97.34 / $131.44	Facility		$88.49	$97.34	$131.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $161.77 / $240.84	Professional		$151.22	$161.77	$240.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $137.59 / $387.02	Professional		$81.52	$137.59	$387.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $982.21 / $4,444.31	Facility		$111.74	$982.21	$4,444.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $156.72 / $240.33	Professional		$102.93	$156.72	$240.33
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 $145.51 / $177.85 / $248.52	Professional		$145.51	$177.85	$248.52