Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $107.15 / $107.15	Facility		$83.18	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $151.36	Professional		$64.57	$74.13	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $537.03	Facility		$123.03	$194.98	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $114.82	Professional		$104.71	$109.65	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $134.90	Facility		$81.28	$81.28	$134.90
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 $67.61 / $97.72 / $263.03	Professional		$67.61	$97.72	$263.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $93.33 / $239.88	Facility		$81.28	$93.33	$239.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $114.82	Professional		$67.61	$83.18	$114.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $190.55	Professional		$67.61	$97.72	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $70.79 / $83.18	Facility		$58.88	$70.79	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $120.23	Professional		$53.70	$85.11	$120.23