Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $602.56	Professional		$295.12	$398.11	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,454.71 / $4,677.35	Facility		$1,023.29	$2,454.71	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $812.83 / $851.14	Professional		$758.58	$812.83	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $933.25	Professional		$309.03	$416.87	$933.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,548.82 / $1,698.24	Facility		$457.09	$1,548.82	$1,698.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $977.24	Professional		$389.05	$630.96	$977.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $446.68	Professional		$309.03	$416.87	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $645.65 / $912.01	Facility		$338.84	$645.65	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $537.03	Professional		$281.84	$380.19	$537.03