Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $122.70 / $235.05	Facility		$20.51	$122.70	$235.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $24.43 / $36.95	Professional		$14.59	$24.43	$36.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.83 / $231.98 / $534.54	Facility		$169.83	$231.98	$534.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $20.81 / $29.58	Professional		$3.72	$20.81	$29.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $18.86 / $20.75	Facility		$13.97	$18.86	$20.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $26.23 / $31.23	Professional		$26.23	$26.23	$31.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $30.44 / $52.37	Professional		$18.73	$30.44	$52.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $140.13 / $247.45	Facility		$20.88	$140.13	$247.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $30.53 / $40.03	Professional		$19.79	$30.53	$40.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $15.72 / $75.00	Professional		$15.72	$15.72	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $173.47 / $1,205.00 / $2,029.00	Facility		$173.47	$1,205.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $38.31 / $50.08	Professional		$29.47	$38.31	$50.08