Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $46.77 / $48.98	Facility		$45.71	$46.77	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $43.65 / $60.26	Professional		$19.95	$43.65	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $93.33	Professional		$89.13	$93.33	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.95 / $56.23	Facility		$15.14	$19.95	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $67.61	Professional		$58.88	$58.88	$67.61
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 $20.89 / $48.98 / $95.50	Professional		$20.89	$48.98	$95.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $46.77 / $79.43	Facility		$27.54	$46.77	$79.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $42.66 / $70.79	Professional		$27.54	$42.66	$70.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $45.71 / $72.44	Professional		$19.95	$45.71	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $60.26 / $67.61	Facility		$23.44	$60.26	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $52.48	Professional		$24.55	$28.84	$52.48