Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $97.72	Facility		$52.48	$52.48	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $72.44	Professional		$38.90	$46.77	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $63.10 / $109.65	Facility		$41.69	$63.10	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $41.69	Professional		$39.81	$41.69	$41.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $75.86	Professional		$56.23	$72.44	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $218.78	Professional		$26.30	$34.67	$218.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $97.72	Facility		$52.48	$52.48	$97.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $77.62	Professional		$43.65	$56.23	$77.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $77.62	Professional		$26.30	$33.11	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $56.23 / $67.61	Facility		$50.12	$56.23	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $58.88	Professional		$23.44	$33.88	$58.88