Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $398.11	Professional		$199.53	$288.40	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $1,096.48	Facility		$23.44	$23.44	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $302.00	Professional		$229.09	$302.00	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $389.05	Facility		$38.90	$38.90	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $616.60	Professional		$489.78	$489.78	$616.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $181.97 / $398.11	Professional		$42.66	$181.97	$398.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $199.53 / $371.54	Facility		$22.91	$199.53	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $446.68	Professional		$199.53	$281.84	$446.68