Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $2,137.96 / $4,897.79	Facility		$91.20	$2,137.96	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $229.09	Professional		$64.57	$123.03	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.78 / $17.78	Facility		$15.14	$17.78	$17.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $89.13 / $102.33	Professional		$15.14	$89.13	$102.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $89.13 / $128.82	Facility		$69.18	$89.13	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $269.15	Professional		$114.82	$158.49	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $213.80	Professional		$63.10	$114.82	$213.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $380.19 / $4,897.79	Facility		$91.20	$380.19	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $147.91 / $239.88	Professional		$72.44	$147.91	$239.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $194.98	Professional		$52.48	$104.71	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,041.74	Facility		$467.74	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $199.53	Professional		$75.86	$125.89	$199.53