Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $302.00	Professional		$154.88	$213.80	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,288.25 / $2,454.71	Facility		$549.54	$1,288.25	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $457.09	Professional		$407.38	$426.58	$457.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $501.19	Professional		$218.78	$295.12	$501.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $812.83 / $912.01	Facility		$245.47	$812.83	$912.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $524.81	Professional		$208.93	$338.84	$524.81
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $309.03	Professional		$218.78	$295.12	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $346.74 / $489.78	Facility		$190.55	$346.74	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $288.40	Professional		$147.91	$204.17	$288.40