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 $512.86 / $676.08 / $954.99	Professional		$512.86	$676.08	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,168.69 / $7,943.28	Facility		$1,778.28	$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 $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,621.81	Professional		$501.19	$676.08	$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 $660.69 / $1,096.48 / $1,698.24	Professional		$660.69	$1,096.48	$1,698.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $707.95	Professional		$501.19	$676.08	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,122.02 / $1,479.11	Facility		$371.54	$1,122.02	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $933.25	Professional		$457.09	$645.65	$933.25