Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $75.86 / $128.82	Facility		$69.18	$75.86	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $120.23	Professional		$51.29	$63.10	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $83.18 / $144.54	Facility		$54.95	$83.18	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $109.65 / $181.97	Facility		$74.13	$109.65	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $100.00	Professional		$77.62	$95.50	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $158.49	Professional		$33.88	$50.12	$158.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $72.44 / $128.82	Facility		$67.61	$72.44	$128.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $100.00	Professional		$43.65	$63.10	$100.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $102.33	Professional		$33.88	$39.81	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $74.13 / $87.10	Facility		$66.07	$74.13	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $83.18	Professional		$30.90	$50.12	$83.18