Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $72.44	Facility		$39.81	$39.81	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $63.10	Professional		$21.88	$34.67	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $83.18	Facility		$31.62	$46.77	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $31.62 / $31.62	Professional		$29.51	$31.62	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $63.10 / $117.49	Facility		$41.69	$63.10	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $56.23	Professional		$43.65	$53.70	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $51.29 / $165.96	Professional		$26.30	$51.29	$165.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $72.44	Facility		$39.81	$39.81	$72.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $75.86	Professional		$33.11	$52.48	$75.86
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $57.54	Professional		$21.38	$32.36	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $41.69 / $50.12	Facility		$37.15	$41.69	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.88 / $57.54	Professional		$17.38	$33.88	$57.54