Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $676.08	Professional		$346.74	$467.74	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $5,495.41	Facility		$1,202.26	$2,884.03	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $954.99 / $1,000.00	Professional		$912.01	$954.99	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $1,122.02	Professional		$398.11	$549.54	$1,122.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,819.70 / $1,995.26	Facility		$537.03	$1,819.70	$1,995.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $1,174.90	Professional		$446.68	$758.58	$1,174.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $562.34	Professional		$398.11	$549.54	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $758.58 / $1,047.13	Facility		$257.04	$758.58	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $630.96	Professional		$316.23	$446.68	$630.96