Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $17.66	Facility		$17.66	$17.66	$17.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $51.39	Professional		$17.66	$17.66	$51.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.80 / $718.86 / $1,309.28	Facility		$360.80	$718.86	$1,309.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.46 / $238.38 / $321.81	Professional		$226.46	$238.38	$321.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.75 / $164.75 / $164.75	Facility		$164.75	$164.75	$164.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $17.66	Facility		$17.66	$17.66	$17.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $52.80	Professional		$17.66	$17.66	$52.80