Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $389.05	Professional		$199.53	$239.88	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,412.54 / $2,691.53	Facility		$602.56	$1,412.54	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $489.78	Professional		$446.68	$467.74	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $549.54	Professional		$213.80	$295.12	$549.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $891.25 / $1,000.00	Facility		$269.15	$891.25	$1,000.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $575.44	Professional		$234.42	$371.54	$575.44
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $316.23	Professional		$213.80	$295.12	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $380.19 / $575.44	Facility		$275.42	$380.19	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $331.13	Professional		$173.78	$223.87	$331.13