Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $707.95	Professional		$380.19	$524.81	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,951.21 / $5,623.41	Facility		$1,230.27	$2,951.21	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $977.24 / $977.24	Professional		$112.20	$977.24	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $645.65 / $1,174.90	Professional		$64.57	$645.65	$1,174.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $416.87 / $1,148.15	Facility		$114.82	$416.87	$1,148.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $389.05 / $954.99	Professional		$48.98	$389.05	$954.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $645.65 / $645.65	Professional		$64.57	$645.65	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $275.42 / $512.86	Facility		$30.90	$275.42	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $602.56	Professional		$309.03	$380.19	$602.56