Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $891.25	Professional		$549.54	$691.83	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,890.45 / $7,413.10	Facility		$1,659.59	$3,890.45	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,348.96	Professional		$1,230.27	$1,288.25	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,513.56	Professional		$524.81	$724.44	$1,513.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,454.71 / $2,754.23	Facility		$741.31	$2,454.71	$2,754.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,584.89	Professional		$645.65	$1,023.29	$1,584.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $741.31	Professional		$524.81	$724.44	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,047.13 / $1,584.89	Facility		$389.05	$1,047.13	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $977.24	Professional		$457.09	$602.56	$977.24