Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $309.03	Professional		$158.49	$199.53	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,148.15 / $2,187.76	Facility		$478.63	$1,148.15	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $398.11	Professional		$354.81	$380.19	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $446.68	Professional		$177.83	$245.47	$446.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $724.44 / $794.33	Facility		$213.80	$724.44	$794.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $457.09	Professional		$194.98	$302.00	$457.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $251.19	Professional		$177.83	$245.47	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $302.00 / $478.63	Facility		$120.23	$302.00	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $269.15	Professional		$138.04	$177.83	$269.15