Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $123.03	Professional		$67.61	$95.50	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $398.11 / $776.25	Facility		$169.82	$398.11	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $134.90	Professional		$100.00	$134.90	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $69.18 / $100.00	Facility		$9.12	$69.18	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $158.49	Professional		$81.28	$95.50	$158.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $120.23 / $489.78	Facility		$41.69	$120.23	$489.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $109.65 / $194.98	Professional		$16.22	$109.65	$194.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $120.23	Professional		$95.50	$95.50	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $60.26 / $102.33	Facility		$8.13	$60.26	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $154.88	Professional		$60.26	$104.71	$154.88