Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $602.56	Professional		$316.23	$407.38	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,137.96 / $4,073.80	Facility		$891.25	$2,137.96	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $707.95 / $741.31	Professional		$676.08	$707.95	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $831.76	Professional		$331.13	$457.09	$831.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,348.96 / $1,513.56	Facility		$407.38	$1,348.96	$1,513.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $870.96	Professional		$371.54	$562.34	$870.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $467.74	Professional		$331.13	$457.09	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $954.99	Facility		$467.74	$562.34	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $537.03	Professional		$295.12	$354.81	$537.03