Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.19 / $96.62 / $7,725.65	Facility		$75.19	$96.62	$7,725.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $92.02 / $3,343.06	Professional		$70.66	$92.02	$3,343.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.56 / $687.36 / $1,300.28	Facility		$381.56	$687.36	$1,300.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.76 / $314.48 / $314.48	Professional		$298.76	$314.48	$314.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.75 / $163.75 / $163.75	Facility		$163.75	$163.75	$163.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $134.01 / $7,725.65	Facility		$89.34	$134.01	$7,725.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $89.34 / $464.00	Professional		$60.15	$89.34	$464.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $67.16 / $102.74	Professional		$22.97	$67.16	$102.74
United Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Facility		$89.34	$89.34	$89.34
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $99.45 / $114.37	Professional		$89.34	$99.45	$114.37