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 / $263.03	Professional		$144.54	$181.97	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,047.13 / $1,995.26	Facility		$436.52	$1,047.13	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $346.74 / $363.08	Professional		$331.13	$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 $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $407.38	Professional		$141.25	$194.98	$407.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $660.69 / $741.31	Facility		$194.98	$660.69	$741.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $426.58	Professional		$173.78	$275.42	$426.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $204.17	Professional		$141.25	$194.98	$204.17
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 / $245.47	Professional		$120.23	$162.18	$245.47