Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $169.64 / $888.62	Facility		$32.09	$169.64	$888.62
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.05 / $38.11 / $38.11	Facility	52	$16.05	$38.11	$38.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $68.18 / $97.23	Professional		$29.05	$68.18	$97.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.72 / $28.71 / $38.11	Professional	52	$12.72	$28.71	$38.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.01 / $381.72 / $520.00	Facility		$327.01	$381.72	$520.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $24.18 / $49.75	Professional		$6.51	$24.18	$49.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $31.64 / $34.81	Facility		$23.44	$31.64	$34.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $69.66 / $73.29	Professional		$58.52	$69.66	$73.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $52.22 / $103.03	Professional		$25.65	$52.22	$103.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $40.43 / $180.42 / $2,056.00	Facility		$40.43	$180.42	$2,056.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $16.05 / $38.11 / $388.07	Facility	52	$16.05	$38.11	$388.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $72.28 / $102.78	Professional		$32.09	$72.28	$102.78
Health Alliance Plan Facility/Professional Professional Modifier 52 Low / Median / High Price $15.37 / $23.91 / $38.11	Professional	52	$15.37	$23.91	$38.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $68.34 / $97.88	Professional		$54.90	$68.34	$97.88
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $93.38 / $116.39	Professional		$69.80	$93.38	$116.39