Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $257.04	Professional		$138.04	$194.98	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,230.27 / $2,344.23	Facility		$524.81	$1,230.27	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $426.58	Professional		$389.05	$407.38	$426.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $478.63	Professional		$194.98	$263.03	$478.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $776.25 / $870.96	Facility		$234.42	$776.25	$870.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $501.19	Professional		$173.78	$323.59	$501.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $281.84	Professional		$194.98	$263.03	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $331.13 / $416.87	Facility		$204.17	$331.13	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $275.42	Professional		$128.82	$194.98	$275.42