Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $331.13	Professional		$190.55	$223.87	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,202.26 / $2,290.87	Facility		$512.86	$1,202.26	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $426.58	Professional		$380.19	$398.11	$426.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $467.74	Professional		$181.97	$251.19	$467.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $758.58 / $851.14	Facility		$229.09	$758.58	$851.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $489.78	Professional		$223.87	$323.59	$489.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $257.04	Professional		$181.97	$251.19	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $323.59 / $549.54	Facility		$134.90	$323.59	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $288.40	Professional		$158.49	$190.55	$288.40