Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $630.96	Professional		$309.03	$407.38	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,454.71 / $4,677.35	Facility		$1,023.29	$2,454.71	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $812.83 / $851.14	Professional		$776.25	$812.83	$851.14
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 $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $954.99	Professional		$407.38	$549.54	$954.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,548.82 / $1,737.80	Facility		$467.74	$1,548.82	$1,737.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $1,000.00	Professional		$389.05	$645.65	$1,000.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $588.84	Professional		$407.38	$549.54	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $660.69 / $954.99	Facility		$389.05	$660.69	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $549.54	Professional		$288.40	$380.19	$549.54