Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,380.38	Professional		$758.58	$1,096.48	$1,380.38
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 $144.54 / $1,905.46 / $1,905.46	Professional		$144.54	$1,905.46	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $190.55 / $1,380.38	Facility		$117.49	$190.55	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,258.93	Facility		$501.19	$501.19	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $501.19 / $2,089.30	Professional		$141.25	$501.19	$2,089.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,905.46	Professional		$1,023.29	$1,380.38	$1,905.46
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $501.19 / $1,258.93	Professional		$141.25	$501.19	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $870.96 / $1,584.89	Facility		$97.72	$870.96	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $1,862.09	Professional		$741.31	$1,445.44	$1,862.09