Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $269.15 / $4,897.79	Facility		$123.03	$269.15	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $295.12	Professional		$91.20	$181.97	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $602.56 / $1,445.44	Facility		$389.05	$602.56	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $147.91 / $147.91	Professional		$24.55	$147.91	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $331.13	Facility		$199.53	$199.53	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $218.78 / $426.58	Professional		$104.71	$218.78	$426.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $537.03 / $4,897.79	Facility		$123.03	$537.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $295.12	Professional		$97.72	$213.80	$295.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $204.17 / $407.38	Professional		$97.72	$204.17	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $204.17	Facility		$79.43	$79.43	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $288.40	Professional		$102.33	$186.21	$288.40