Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $323.59	Professional		$181.97	$229.09	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,288.25 / $2,454.71	Facility		$549.54	$1,288.25	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $446.68	Professional		$407.38	$426.58	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $501.19	Professional		$181.97	$251.19	$501.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $812.83 / $912.01	Facility		$245.47	$812.83	$912.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $524.81	Professional		$213.80	$346.74	$524.81
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $269.15	Professional		$181.97	$251.19	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $346.74 / $524.81	Facility		$128.82	$346.74	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $309.03	Professional		$151.36	$199.53	$309.03