Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $724.44	Professional		$389.05	$562.34	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,995.26 / $3,715.35	Facility		$891.25	$1,995.26	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $776.25	Professional		$575.44	$776.25	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $660.69	Facility		$48.98	$48.98	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $588.84	Facility		$549.54	$549.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $549.54 / $676.08	Professional		$60.26	$549.54	$676.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,238.72 / $2,511.89	Facility		$724.44	$2,238.72	$2,511.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $1,122.02	Professional		$79.43	$758.58	$1,122.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $549.54 / $676.08	Professional		$60.26	$549.54	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $398.11 / $660.69	Facility		$45.71	$398.11	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $812.83	Professional		$398.11	$512.86	$812.83