Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.40 / $204.48 / $2,056.00	Facility		$45.40	$204.48	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $72.15 / $141.75	Professional		$32.59	$72.15	$141.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.43 / $195.14 / $264.39	Facility		$167.43	$195.14	$264.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $58.52 / $113.94	Professional		$11.26	$58.52	$113.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.01 / $38.51 / $51.99	Facility		$35.01	$38.51	$51.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $84.57 / $126.09	Professional		$79.81	$84.57	$126.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $72.41 / $163.66	Professional		$32.43	$72.41	$163.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.64 / $204.48 / $2,056.00	Facility		$45.64	$204.48	$2,056.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $76.70 / $132.00	Professional		$43.46	$76.70	$132.00
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 $74.37 / $89.77 / $111.56	Professional		$74.37	$89.77	$111.56