Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,318.26	Facility		$724.44	$724.44	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $954.99	Professional		$537.03	$645.65	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $537.03 / $537.03	Professional		$501.19	$537.03	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,905.46	Facility		$758.58	$1,148.15	$1,905.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,023.29	Professional		$794.33	$977.24	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $1,659.59	Professional		$346.74	$478.63	$1,659.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,318.26	Facility		$724.44	$724.44	$1,318.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,071.52	Professional		$602.56	$758.58	$1,071.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $870.96	Professional		$302.00	$389.05	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $758.58 / $758.58	Facility		$380.19	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $758.58	Professional		$316.23	$478.63	$758.58