Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $446.68	Professional		$251.19	$346.74	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $2,041.74	Facility		$549.54	$549.54	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $549.54 / $549.54	Professional		$42.66	$549.54	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $338.84 / $446.68	Facility		$35.48	$338.84	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Facility		$354.81	$354.81	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $616.60	Professional		$354.81	$354.81	$616.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $446.68 / $707.95	Professional		$54.95	$446.68	$707.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Facility		$354.81	$354.81	$467.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Professional		$354.81	$354.81	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $229.09 / $389.05	Facility		$27.54	$229.09	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $478.63	Professional		$229.09	$363.08	$478.63