Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $602.56	Professional		$331.13	$478.63	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $2,818.38	Facility		$776.25	$776.25	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $741.31 / $776.25	Professional		$60.26	$741.31	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $363.08 / $562.34	Facility		$48.98	$363.08	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $891.25	Professional		$275.42	$275.42	$891.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $602.56 / $891.25	Professional		$77.62	$602.56	$891.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $676.08	Professional		$275.42	$275.42	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $257.04 / $549.54	Facility		$29.51	$257.04	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $616.60	Professional		$281.84	$407.38	$616.60