Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $724.44	Professional		$371.54	$446.68	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,630.27 / $5,011.87	Facility		$1,122.02	$2,630.27	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $912.01	Professional		$831.76	$870.96	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,023.29	Professional		$457.09	$630.96	$1,023.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,659.59 / $1,862.09	Facility		$501.19	$1,659.59	$1,862.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,071.52	Professional		$446.68	$691.83	$1,071.52
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $660.69	Professional		$457.09	$630.96	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $1,071.52	Facility		$512.86	$707.95	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $616.60	Professional		$323.59	$416.87	$616.60