Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $245.47 / $575.44	Facility		$97.72	$245.47	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $151.36	Professional		$93.33	$95.50	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $416.87	Facility		$112.20	$208.93	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $93.33	Professional		$89.13	$93.33	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $245.47 / $537.03	Facility		$97.72	$245.47	$537.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $144.54	Professional		$93.33	$97.72	$144.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $93.33	Facility		$91.20	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $100.00	Professional		$93.33	$93.33	$100.00