Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $363.08	Professional		$186.21	$263.03	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,698.24 / $3,235.94	Facility		$707.95	$1,698.24	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $588.84	Professional		$524.81	$562.34	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $645.65	Professional		$263.03	$363.08	$645.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,071.52 / $1,174.90	Facility		$316.23	$1,071.52	$1,174.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $676.08	Professional		$251.19	$446.68	$676.08
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $389.05	Professional		$263.03	$363.08	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $575.44	Facility		$275.42	$446.68	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $371.54	Professional		$177.83	$263.03	$371.54