Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $295.12	Professional		$151.36	$181.97	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,071.52 / $2,041.74	Facility		$457.09	$1,071.52	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $380.19	Professional		$338.84	$354.81	$380.19
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 $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $416.87	Professional		$169.82	$229.09	$416.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $676.08 / $758.58	Facility		$204.17	$676.08	$758.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $436.52	Professional		$177.83	$288.40	$436.52
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $245.47	Professional		$169.82	$229.09	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $288.40 / $436.52	Facility		$208.93	$288.40	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $251.19	Professional		$131.83	$169.82	$251.19