Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $26.92 / $48.98	Facility		$25.70	$26.92	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $33.11	Professional		$21.88	$25.12	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.90 / $54.95	Facility		$20.89	$30.90	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $20.89	Professional		$19.95	$20.89	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $77.62	Facility		$29.51	$29.51	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $31.62 / $39.81	Professional		$19.50	$31.62	$39.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $26.30 / $91.20	Facility		$25.70	$26.30	$91.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $52.48	Professional		$22.91	$33.11	$52.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $33.88	Professional		$17.78	$21.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $27.54 / $33.11	Facility		$16.60	$27.54	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $22.91 / $23.99	Professional		$11.75	$22.91	$23.99