Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.45 / $705.45 / $705.45	Facility		$705.45	$705.45	$705.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.27 / $705.45 / $787.20	Professional		$476.27	$705.45	$787.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,286.67 / $3,286.67 / $4,303.96	Facility		$3,286.67	$3,286.67	$4,303.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $672.16 / $1,209.88	Professional		$65.48	$672.16	$1,209.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.64 / $441.12 / $588.15	Facility		$57.64	$441.12	$588.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.93 / $532.02 / $709.39	Professional		$70.93	$532.02	$709.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $369.39 / $369.39	Facility		$369.39	$369.39	$369.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.39 / $369.39 / $1,046.63	Professional		$369.39	$369.39	$1,046.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $476.27 / $718.75 / $1,043.22	Professional		$476.27	$718.75	$1,043.22
United Facility/Professional Professional Modifier Low / Median / High Price $341.64 / $481.19 / $701.61	Professional		$341.64	$481.19	$701.61