Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $25.70 / $75.86	Facility		$24.55	$25.70	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $77.62	Professional		$18.20	$23.99	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.20 / $53.70	Facility		$19.95	$30.20	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $24.55 / $104.71	Professional		$12.02	$24.55	$104.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $74.13	Facility		$25.70	$25.70	$74.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $40.74	Professional		$20.89	$26.92	$40.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $37.15	Professional		$12.02	$14.45	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $26.92 / $32.36	Facility		$23.99	$26.92	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.30 / $34.67	Professional		$16.22	$26.30	$34.67