Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $263.03	Professional		$138.04	$173.78	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,047.13 / $1,995.26	Facility		$446.68	$1,047.13	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $346.74 / $363.08	Professional		$331.13	$346.74	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $407.38	Professional		$165.96	$223.87	$407.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $660.69 / $741.31	Facility		$199.53	$660.69	$741.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $426.58	Professional		$169.82	$275.42	$426.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $239.88	Professional		$165.96	$223.87	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $281.84 / $407.38	Facility		$199.53	$281.84	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $239.88	Professional		$125.89	$165.96	$239.88