Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $218.78 / $371.54	Facility		$58.88	$218.78	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $208.93 / $870.96	Professional		$19.05	$208.93	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.88 / $35.48	Professional		$32.36	$33.88	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $33.88 / $54.95	Facility		$19.95	$33.88	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $45.71	Professional		$21.38	$25.12	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $30.90 / $50.12	Professional		$10.23	$30.90	$50.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $199.53 / $371.54	Facility		$56.23	$199.53	$371.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $56.23 / $616.60	Professional		$19.95	$56.23	$616.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $30.90 / $38.02	Professional		$10.23	$30.90	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $29.51 / $57.54	Professional		$13.49	$29.51	$57.54