Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,412.54	Professional		$812.83	$1,230.27	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $6,918.31	Facility		$1,412.54	$1,412.54	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $1,862.09	Professional		$1,348.96	$1,862.09	$1,862.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $1,584.89	Facility		$117.49	$117.49	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $398.11 / $2,089.30	Professional		$147.91	$398.11	$2,089.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,819.70	Professional		$1,096.48	$1,348.96	$1,819.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $398.11 / $407.38	Professional		$147.91	$398.11	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $537.03 / $1,174.90	Facility		$70.79	$537.03	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,230.27	Professional		$645.65	$794.33	$1,230.27