Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $676.08	Professional		$346.74	$457.09	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,884.03 / $5,623.41	Facility		$1,230.27	$2,884.03	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $977.24 / $1,023.29	Professional		$912.01	$977.24	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,122.02	Professional		$457.09	$630.96	$1,122.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,819.70 / $2,041.74	Facility		$549.54	$1,819.70	$2,041.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $1,174.90	Professional		$436.52	$776.25	$1,174.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $645.65	Professional		$457.09	$630.96	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $776.25 / $1,023.29	Facility		$257.04	$776.25	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $645.65	Professional		$316.23	$457.09	$645.65