Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $630.96	Professional		$338.84	$426.58	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,238.72 / $4,365.16	Facility		$954.99	$2,238.72	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $794.33	Professional		$707.95	$758.58	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
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 $354.81 / $489.78 / $870.96	Professional		$354.81	$489.78	$870.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,412.54 / $1,584.89	Facility		$426.58	$1,412.54	$1,584.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $912.01	Professional		$380.19	$602.56	$912.01
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 $354.81 / $489.78 / $512.86	Professional		$354.81	$489.78	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $1,023.29	Facility		$489.78	$602.56	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $575.44	Professional		$309.03	$371.54	$575.44