Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $831.76 / $831.76	Facility		$83.18	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $109.65	Professional		$61.66	$77.62	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $436.52 / $851.14	Facility		$186.21	$436.52	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $154.88	Professional		$138.04	$147.91	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $169.82	Professional		$60.26	$81.28	$169.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $275.42 / $831.76	Facility		$83.18	$275.42	$831.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $177.83	Professional		$72.44	$117.49	$177.83
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $87.10	Professional		$60.26	$81.28	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $117.49 / $177.83	Facility		$44.67	$117.49	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $104.71	Professional		$51.29	$69.18	$104.71