Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $457.09	Facility		$251.19	$251.19	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $316.23	Professional		$169.82	$213.80	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $295.12 / $524.81	Facility		$194.98	$295.12	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $194.98	Professional		$186.21	$194.98	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $354.81	Professional		$263.03	$338.84	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $575.44	Professional		$128.82	$173.78	$575.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $457.09	Facility		$251.19	$251.19	$457.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $371.54	Professional		$204.17	$263.03	$371.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $363.08	Professional		$120.23	$141.25	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $263.03 / $316.23	Facility		$234.42	$263.03	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $288.40	Professional		$109.65	$173.78	$288.40