Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $371.54	Professional		$181.97	$218.78	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,318.26 / $2,511.89	Facility		$562.34	$1,318.26	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $436.52 / $457.09	Professional		$416.87	$436.52	$457.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $512.86	Professional		$223.87	$302.00	$512.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $831.76 / $933.25	Facility		$251.19	$831.76	$933.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $537.03	Professional		$213.80	$354.81	$537.03
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $316.23	Professional		$223.87	$302.00	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $354.81 / $524.81	Facility		$251.19	$354.81	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $302.00	Professional		$158.49	$204.17	$302.00