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 $588.84 / $707.95 / $1,148.15	Professional		$588.84	$707.95	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $7,585.78	Facility		$1,698.24	$3,981.07	$7,585.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,380.38	Professional		$1,258.93	$1,318.26	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
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 $602.56 / $831.76 / $1,548.82	Professional		$602.56	$831.76	$1,548.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,511.89 / $2,818.38	Facility		$758.58	$2,511.89	$2,818.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,621.81	Professional		$691.83	$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 $602.56 / $831.76 / $891.25	Professional		$602.56	$831.76	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,071.52 / $1,778.28	Facility		$446.68	$1,071.52	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $954.99	Professional		$512.86	$630.96	$954.99