Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.86 / $182.86 / $182.86	Facility		$182.86	$182.86	$182.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.86 / $182.86 / $183.77	Professional		$182.86	$182.86	$183.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $180.94 / $329.54	Facility		$90.81	$180.94	$329.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $60.00 / $81.00	Professional		$57.00	$60.00	$81.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $16.23 / $16.23	Facility		$16.23	$16.23	$16.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $44.16 / $179.84	Professional		$5.25	$44.16	$179.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.19 / $23.19 / $182.86	Facility		$23.19	$23.19	$182.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $29.93 / $182.86	Professional		$23.19	$29.93	$182.86
United Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $111.40 / $111.40	Professional		$111.40	$111.40	$111.40