Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $524.81	Facility		$186.21	$186.21	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $309.03	Professional		$144.54	$173.78	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $223.87 / $389.05	Facility		$147.91	$223.87	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $147.91	Professional		$141.25	$147.91	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $426.58	Professional		$100.00	$194.98	$426.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $630.96	Facility		$186.21	$186.21	$630.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $354.81	Professional		$162.18	$251.19	$354.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $275.42	Professional		$100.00	$151.36	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $199.53 / $239.88	Facility		$177.83	$199.53	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $257.04	Professional		$83.18	$162.18	$257.04