Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $138.04	Facility		$97.72	$97.72	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $181.97	Professional		$61.66	$93.33	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $295.12 / $812.83	Facility		$186.21	$295.12	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $165.96	Professional		$141.25	$165.96	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $147.91	Facility		$89.13	$89.13	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $64.57	Facility		$53.70	$53.70	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $331.13	Professional		$85.11	$120.23	$331.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $100.00 / $239.88	Facility		$89.13	$100.00	$239.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $147.91	Professional		$75.86	$97.72	$147.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $295.12	Professional		$85.11	$120.23	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $112.20 / $123.03	Facility		$81.28	$112.20	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $144.54	Professional		$83.18	$104.71	$144.54