Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $169.82 / $213.80	Facility		$117.49	$169.82	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $263.03	Professional		$125.89	$158.49	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $891.25 / $1,698.24	Facility		$380.19	$891.25	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $295.12 / $309.03	Professional		$281.84	$295.12	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $346.74	Professional		$128.82	$177.83	$346.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $229.09 / $630.96	Facility		$117.49	$229.09	$630.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $363.08	Professional		$147.91	$234.42	$363.08
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $186.21	Professional		$128.82	$177.83	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $239.88 / $363.08	Facility		$89.13	$239.88	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $208.93	Professional		$104.71	$138.04	$208.93