Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $77.62 / $371.54	Facility		$61.66	$77.62	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $190.55	Professional		$47.86	$66.07	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $48.98	Facility		$10.96	$10.96	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $67.61	Facility		$66.07	$66.07	$67.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $89.13	Professional		$66.07	$85.11	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $141.25	Professional		$33.11	$53.70	$141.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $66.07 / $218.78	Facility		$61.66	$66.07	$218.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $131.83	Professional		$52.48	$83.18	$131.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $91.20	Professional		$33.11	$46.77	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $66.07 / $77.62	Facility		$58.88	$66.07	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $53.70 / $85.11	Professional		$27.54	$53.70	$85.11