Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,511.89	Facility		$758.58	$1,000.00	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,348.96	Professional		$776.25	$776.25	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,698.24 / $3,388.44	Facility		$891.25	$1,698.24	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $562.34 / $588.84	Professional		$537.03	$562.34	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $870.96 / $1,174.90	Facility		$741.31	$870.96	$1,174.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,698.24	Professional		$741.31	$741.31	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $831.76	Professional		$776.25	$776.25	$831.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $933.25 / $2,511.89	Facility		$707.95	$933.25	$2,511.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $794.33 / $1,096.48	Professional		$776.25	$794.33	$1,096.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $831.76	Professional		$776.25	$776.25	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $741.31 / $776.25	Facility		$707.95	$741.31	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $954.99	Professional		$741.31	$831.76	$954.99