Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $512.86	Professional		$263.03	$371.54	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,238.72 / $4,265.80	Facility		$933.25	$2,238.72	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $741.31 / $776.25	Professional		$707.95	$741.31	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $616.60	Facility		$380.19	$380.19	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $870.96	Professional		$275.42	$380.19	$870.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,412.54 / $1,584.89	Facility		$426.58	$1,412.54	$1,584.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $912.01	Professional		$338.84	$588.84	$912.01
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $616.60	Facility		$380.19	$380.19	$616.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $616.60	Professional		$275.42	$380.19	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $588.84 / $794.33	Facility		$194.98	$588.84	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $501.19	Professional		$239.88	$346.74	$501.19