Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $354.81 / $389.05	Facility		$91.20	$354.81	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $134.90	Professional		$70.79	$91.20	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $478.63 / $912.01	Facility		$204.17	$478.63	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $165.96	Professional		$151.36	$158.49	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $186.21	Professional		$72.44	$100.00	$186.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $309.03 / $389.05	Facility		$91.20	$309.03	$389.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $194.98	Professional		$85.11	$125.89	$194.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $107.15	Professional		$72.44	$100.00	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $128.82 / $218.78	Facility		$104.71	$128.82	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $123.03	Professional		$66.07	$79.43	$123.03