Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $61.66	Facility		$33.11	$33.11	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $50.12	Professional		$22.91	$30.20	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.90 / $69.18	Facility		$26.30	$38.90	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.30 / $26.30	Professional		$25.12	$26.30	$26.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $52.48 / $97.72	Facility		$35.48	$52.48	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $47.86	Professional		$37.15	$45.71	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $42.66 / $138.04	Professional		$21.88	$42.66	$138.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $61.66	Facility		$33.11	$33.11	$61.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $63.10	Professional		$28.18	$41.69	$63.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $48.98	Professional		$17.78	$26.92	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $35.48 / $41.69	Facility		$31.62	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $28.84 / $47.86	Professional		$14.79	$28.84	$47.86