Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $151.36	Professional		$47.86	$56.23	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $123.03	Professional		$109.65	$117.49	$123.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $158.49	Professional		$72.44	$87.10	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $93.33 / $302.00	Professional		$30.90	$93.33	$302.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $190.55	Professional		$50.12	$83.18	$190.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $53.70 / $107.15	Professional		$30.90	$53.70	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $95.50	Professional		$40.74	$67.61	$95.50