Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $741.31	Professional		$380.19	$489.78	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,818.38 / $5,370.32	Facility		$1,174.90	$2,818.38	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $977.24	Professional		$870.96	$933.25	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $1,096.48	Professional		$380.19	$524.81	$1,096.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,778.28 / $1,949.84	Facility		$524.81	$1,778.28	$1,949.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,122.02	Professional		$467.74	$741.31	$1,122.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $562.34	Professional		$380.19	$524.81	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $741.31 / $1,148.15	Facility		$281.84	$741.31	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $660.69	Professional		$331.13	$436.52	$660.69