Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $302.00	Professional		$162.18	$229.09	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $1,412.54	Facility		$389.05	$389.05	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $371.54 / $389.05	Professional		$29.51	$371.54	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $173.78 / $234.42	Facility		$23.44	$173.78	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $380.19	Professional		$239.88	$239.88	$380.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $281.84 / $398.11	Professional		$38.90	$281.84	$398.11
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Professional		$239.88	$239.88	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $112.20 / $245.47	Facility		$13.18	$112.20	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $275.42	Professional		$128.82	$181.97	$275.42