Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $363.08	Professional		$190.55	$229.09	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,348.96 / $2,570.40	Facility		$562.34	$1,348.96	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $446.68 / $467.74	Professional		$426.58	$446.68	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $524.81	Professional		$234.42	$316.23	$524.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $851.14 / $954.99	Facility		$257.04	$851.14	$954.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $549.54	Professional		$223.87	$354.81	$549.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $338.84	Professional		$234.42	$316.23	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $354.81 / $549.54	Facility		$263.03	$354.81	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $316.23	Professional		$165.96	$213.80	$316.23