Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $131.83	Facility		$125.89	$125.89	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $151.36	Professional		$79.43	$114.82	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $199.53	Professional		$181.97	$190.55	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $213.80	Facility		$125.89	$125.89	$213.80
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 $95.50 / $134.90 / $380.19	Professional		$95.50	$134.90	$380.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $134.90 / $371.54	Facility		$125.89	$134.90	$371.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $190.55	Professional		$97.72	$125.89	$190.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $234.42	Professional		$91.20	$134.90	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $107.15 / $123.03	Facility		$97.72	$107.15	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $158.49	Professional		$109.65	$128.82	$158.49