Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $20.89 / $26.30	Facility		$19.95	$20.89	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $51.29	Professional		$15.14	$19.95	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $54.95 / $72.44	Facility		$38.90	$54.95	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $36.31 / $38.02	Professional		$34.67	$36.31	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $21.88 / $31.62	Facility		$15.14	$21.88	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $64.57	Facility		$53.70	$53.70	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $85.11	Professional		$19.95	$29.51	$85.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.30 / $63.10	Facility		$21.88	$26.30	$63.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $33.88	Professional		$15.85	$22.91	$33.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $72.44	Professional		$21.88	$29.51	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $23.99 / $26.30	Facility		$19.05	$23.99	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.92 / $37.15	Professional		$15.14	$26.92	$37.15