Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $478.63	Facility		$263.03	$263.03	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $338.84	Professional		$181.97	$234.42	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $316.23 / $537.03	Facility		$204.17	$316.23	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $204.17	Professional		$194.98	$204.17	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $371.54	Professional		$275.42	$354.81	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $380.19 / $1,071.52	Professional		$154.88	$380.19	$1,071.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $660.69	Facility		$263.03	$263.03	$660.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $371.54	Professional		$223.87	$275.42	$371.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $331.13 / $380.19	Professional		$154.88	$331.13	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $275.42 / $331.13	Facility		$245.47	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $275.42	Professional		$114.82	$165.96	$275.42