Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $912.01	Professional		$489.78	$630.96	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $6,918.31	Facility		$1,513.56	$3,630.78	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $1,258.93	Professional		$1,148.15	$1,202.26	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,412.54	Professional		$524.81	$707.95	$1,412.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,290.87 / $2,570.40	Facility		$691.83	$2,290.87	$2,570.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,479.11	Professional		$616.60	$954.99	$1,479.11
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $741.31	Professional		$524.81	$707.95	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $954.99 / $1,479.11	Facility		$363.08	$954.99	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $870.96	Professional		$416.87	$562.34	$870.96