Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $331.13	Professional		$190.55	$223.87	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,258.93 / $2,454.71	Facility		$537.03	$1,258.93	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $446.68	Professional		$398.11	$426.58	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $489.78	Professional		$199.53	$275.42	$489.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $794.33 / $891.25	Facility		$239.88	$794.33	$891.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $512.86	Professional		$218.78	$338.84	$512.86
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $288.40	Professional		$199.53	$275.42	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $524.81	Facility		$257.04	$338.84	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $302.00	Professional		$162.18	$204.17	$302.00