Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.45 / $854.45 / $854.45	Facility		$854.45	$854.45	$854.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.04 / $854.45 / $961.00	Professional		$636.04	$854.45	$961.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,115.18 / $4,115.18 / $5,388.92	Facility		$4,115.18	$4,115.18	$5,388.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $841.60 / $1,514.88	Professional		$86.32	$841.60	$1,514.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.42 / $625.54 / $834.07	Facility		$77.42	$625.54	$834.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.29 / $714.68 / $1,019.18	Professional		$95.29	$714.68	$1,019.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $394.97 / $394.97	Facility		$394.97	$394.97	$394.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.97 / $394.97 / $1,311.75	Professional		$394.97	$394.97	$1,311.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $516.53 / $854.45 / $1,122.14	Professional		$516.53	$854.45	$1,122.14
United Facility/Professional Professional Modifier Low / Median / High Price $432.22 / $536.45 / $847.95	Professional		$432.22	$536.45	$847.95