Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $977.24	Professional		$489.78	$660.69	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,073.80 / $7,762.47	Facility		$1,698.24	$4,073.80	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $1,412.54	Professional		$1,288.25	$1,348.96	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,584.89	Professional		$512.86	$707.95	$1,584.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,570.40 / $2,884.03	Facility		$776.25	$2,570.40	$2,884.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,071.52 / $1,659.59	Professional		$645.65	$1,071.52	$1,659.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $741.31	Professional		$512.86	$707.95	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,513.56	Facility		$741.31	$1,071.52	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $912.01	Professional		$467.74	$630.96	$912.01