Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.36 / $4,933.00 / $6,906.00	Facility		$163.36	$4,933.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $163.36 / $186.53	Professional		$150.40	$163.36	$186.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $67.31 / $210.38	Facility		$67.31	$67.31	$210.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.52 / $336.60 / $454.41	Professional		$87.52	$336.60	$454.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $232.36 / $255.65	Facility		$172.12	$232.36	$255.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.39 / $204.04 / $226.99	Professional		$171.39	$204.04	$226.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.10 / $311.70 / $343.69	Professional		$185.10	$311.70	$343.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $205.83 / $6,353.26 / $7,047.33	Facility		$205.83	$6,353.26	$7,047.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $159.47 / $163.36 / $205.83	Professional		$159.47	$163.36	$205.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $413.70 / $413.70	Professional		$30.00	$413.70	$413.70