Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $954.99	Professional		$537.03	$676.08	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,801.89 / $7,244.36	Facility		$1,584.89	$3,801.89	$7,244.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,318.26	Professional		$1,202.26	$1,258.93	$1,318.26
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 $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,479.11	Professional		$537.03	$741.31	$1,479.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,398.83 / $2,691.53	Facility		$724.44	$2,398.83	$2,691.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,548.82	Professional		$630.96	$1,000.00	$1,548.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $794.33	Professional		$537.03	$741.31	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,000.00 / $1,548.82	Facility		$380.19	$1,000.00	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $912.01	Professional		$436.52	$588.84	$912.01