Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $251.19	Professional		$144.54	$204.17	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $1,202.26	Facility		$245.47	$245.47	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $323.59 / $323.59	Professional		$25.12	$323.59	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $162.18 / $239.88	Facility		$21.88	$162.18	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $446.68	Professional		$245.47	$245.47	$446.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $257.04 / $380.19	Professional		$32.36	$257.04	$380.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $363.08	Professional		$245.47	$245.47	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $109.65 / $234.42	Facility		$12.30	$109.65	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $251.19	Professional		$120.23	$173.78	$251.19