Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $346.74	Professional		$177.83	$245.47	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,479.11 / $2,818.38	Facility		$630.96	$1,479.11	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $524.81	Professional		$467.74	$489.78	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $575.44	Professional		$177.83	$245.47	$575.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $933.25 / $1,047.13	Facility		$281.84	$933.25	$1,047.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $602.56	Professional		$223.87	$398.11	$602.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $263.03	Professional		$177.83	$245.47	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $398.11 / $537.03	Facility		$131.83	$398.11	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $331.13	Professional		$162.18	$234.42	$331.13