Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $165.96	Professional		$77.62	$102.33	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $537.03 / $1,047.13	Facility		$229.09	$537.03	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $190.55	Professional		$169.82	$181.97	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $208.93	Professional		$85.11	$117.49	$208.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $338.84 / $380.19	Facility		$102.33	$338.84	$380.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $218.78	Professional		$95.50	$144.54	$218.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $123.03	Professional		$85.11	$117.49	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $144.54 / $245.47	Facility		$60.26	$144.54	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $128.82	Professional		$70.79	$87.10	$128.82