Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $389.05	Professional		$208.93	$257.04	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,479.11 / $2,884.03	Facility		$630.96	$1,479.11	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $501.19 / $524.81	Professional		$467.74	$501.19	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $575.44	Professional		$213.80	$288.40	$575.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $933.25 / $1,047.13	Facility		$281.84	$933.25	$1,047.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $602.56	Professional		$251.19	$398.11	$602.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $302.00	Professional		$213.80	$288.40	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $398.11 / $630.96	Facility		$158.49	$398.11	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $354.81	Professional		$181.97	$234.42	$354.81