Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,096.48	Professional		$602.56	$758.58	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,073.80 / $7,762.47	Facility		$1,698.24	$4,073.80	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,412.54	Professional		$1,258.93	$1,348.96	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,584.89	Professional		$616.60	$831.76	$1,584.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,570.40 / $2,818.38	Facility		$758.58	$2,570.40	$2,818.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,621.81	Professional		$741.31	$1,071.52	$1,621.81
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $891.25	Professional		$616.60	$831.76	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,071.52 / $1,819.70	Facility		$457.09	$1,071.52	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $954.99	Professional		$524.81	$645.65	$954.99