Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Facility		$120.23	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $177.83	Professional		$93.33	$107.15	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $446.68 / $891.25	Facility		$165.96	$446.68	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $162.18	Professional		$147.91	$154.88	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.92 / $165.96	Facility		$15.14	$26.92	$165.96
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 $91.20 / $125.89 / $371.54	Professional		$91.20	$125.89	$371.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $288.40	Facility		$100.00	$125.89	$288.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $151.36	Professional		$95.50	$114.82	$151.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $269.15	Professional		$77.62	$125.89	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $102.33 / $112.20	Facility		$64.57	$102.33	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $154.88	Professional		$75.86	$112.20	$154.88