Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $257.04	Professional		$144.54	$181.97	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,023.29 / $1,995.26	Facility		$436.52	$1,023.29	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $363.08	Professional		$323.59	$346.74	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $398.11	Professional		$141.25	$190.55	$398.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $645.65 / $724.44	Facility		$194.98	$645.65	$724.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $416.87	Professional		$177.83	$275.42	$416.87
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $199.53	Professional		$141.25	$190.55	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $275.42 / $416.87	Facility		$104.71	$275.42	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $257.04	Professional		$120.23	$162.18	$257.04