Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,000.00	Professional		$575.44	$707.95	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,168.69 / $7,943.28	Facility		$1,737.80	$4,168.69	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,380.38 / $1,445.44	Professional		$1,318.26	$1,380.38	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,621.81	Professional		$549.54	$758.58	$1,621.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,630.27 / $2,951.21	Facility		$794.33	$2,630.27	$2,951.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,698.24	Professional		$691.83	$1,096.48	$1,698.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $776.25	Professional		$549.54	$758.58	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,096.48 / $1,621.81	Facility		$407.38	$1,096.48	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $977.24	Professional		$467.74	$645.65	$977.24