Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $302.00	Professional		$144.54	$177.83	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $954.99 / $1,819.70	Facility		$398.11	$954.99	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $316.23 / $331.13	Professional		$302.00	$316.23	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $371.54	Professional		$151.36	$204.17	$371.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $602.56 / $676.08	Facility		$181.97	$602.56	$676.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $389.05	Professional		$169.82	$257.04	$389.05
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $218.78	Professional		$151.36	$204.17	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $251.19 / $426.58	Facility		$107.15	$251.19	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $229.09	Professional		$123.03	$151.36	$229.09