Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,174.90	Professional		$630.96	$776.25	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,570.88 / $8,912.51	Facility		$1,949.84	$4,570.88	$8,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,621.81	Professional		$1,445.44	$1,548.82	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,778.28	Professional		$724.44	$851.14	$1,778.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,884.03 / $3,235.94	Facility		$870.96	$2,884.03	$3,235.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,862.09	Professional		$776.25	$1,230.27	$1,862.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $870.96	Professional		$724.44	$851.14	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,819.70	Facility		$891.25	$1,230.27	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,148.15	Professional		$562.34	$724.44	$1,148.15