Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $891.25	Professional		$478.63	$645.65	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $3,801.89	Facility		$1,047.13	$1,047.13	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $776.25 / $1,047.13	Professional		$75.86	$776.25	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $575.44	Facility		$63.10	$63.10	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $426.58 / $1,122.02	Professional		$77.62	$426.58	$1,122.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $707.95 / $1,000.00	Professional		$81.28	$707.95	$1,000.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $426.58 / $436.52	Professional		$77.62	$426.58	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $288.40 / $630.96	Facility		$38.02	$288.40	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $660.69	Professional		$346.74	$426.58	$660.69