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 / $239.88 / $295.12	Professional		$162.18	$239.88	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $389.05 / $1,412.54	Facility		$109.65	$389.05	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $389.05	Professional		$288.40	$363.08	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $194.98 / $295.12	Facility		$25.12	$194.98	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $331.13	Facility		$269.15	$269.15	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $446.68	Professional		$269.15	$269.15	$446.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $288.40 / $407.38	Professional		$38.90	$288.40	$407.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $331.13	Facility		$269.15	$269.15	$331.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $331.13	Professional		$269.15	$269.15	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $134.90 / $275.42	Facility		$16.60	$134.90	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $316.23	Professional		$147.91	$208.93	$316.23