Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $870.96	Professional		$436.52	$630.96	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $4,265.80	Facility		$870.96	$870.96	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,148.15	Professional		$870.96	$1,096.48	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $660.69	Facility		$70.79	$70.79	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $1,348.96	Professional		$75.86	$81.28	$1,348.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $676.08 / $1,122.02	Professional		$100.00	$676.08	$1,122.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $1,071.52	Professional		$75.86	$75.86	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $275.42 / $616.60	Facility		$37.15	$275.42	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $630.96	Professional		$338.84	$416.87	$630.96