Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Facility		$49.91	$49.91	$49.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Professional		$49.91	$49.91	$49.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $980.27 / $1,283.68 / $1,711.58	Facility		$980.27	$1,283.68	$1,711.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $267.30 / $481.14	Professional		$27.42	$267.30	$481.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,833.98 / $1,833.98 / $1,833.98	Facility		$1,833.98	$1,833.98	$1,833.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Professional		$1,300.00	$1,300.00	$1,300.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Professional		$49.91	$49.91	$49.91