Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $181.97	Professional		$97.72	$120.23	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $676.08 / $1,318.26	Facility		$288.40	$676.08	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $239.88	Professional		$213.80	$229.09	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $263.03	Professional		$100.00	$134.90	$263.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $426.58 / $478.63	Facility		$128.82	$426.58	$478.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $275.42	Professional		$117.49	$181.97	$275.42
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $138.04	Professional		$100.00	$134.90	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $181.97 / $295.12	Facility		$74.13	$181.97	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $162.18	Professional		$85.11	$107.15	$162.18