Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $478.63	Professional		$257.04	$363.08	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,290.87 / $4,365.16	Facility		$977.24	$2,290.87	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $794.33	Professional		$724.44	$758.58	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $891.25	Professional		$363.08	$489.78	$891.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,445.44 / $1,621.81	Facility		$436.52	$1,445.44	$1,621.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $933.25	Professional		$346.74	$602.56	$933.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $524.81	Professional		$363.08	$489.78	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $616.60 / $776.25	Facility		$331.13	$616.60	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $512.86	Professional		$239.88	$354.81	$512.86