Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $562.34	Facility		$309.03	$309.03	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $389.05	Professional		$218.78	$275.42	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $630.96	Facility		$245.47	$371.54	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $245.47	Professional		$229.09	$245.47	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $338.84	Facility		$323.59	$323.59	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $436.52	Professional		$323.59	$426.58	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $323.59 / $707.95	Professional		$147.91	$323.59	$707.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $562.34	Facility		$309.03	$309.03	$562.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $436.52	Professional		$257.04	$323.59	$436.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $446.68	Professional		$147.91	$186.21	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $323.59 / $389.05	Facility		$295.12	$323.59	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $331.13	Professional		$134.90	$199.53	$331.13