Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.12 / $194.98	Facility		$23.99	$25.12	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $34.67	Professional		$18.20	$22.91	$34.67
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $47.86 / $63.10	Facility		$33.88	$47.86	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $31.62 / $31.62	Professional		$30.20	$31.62	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.92 / $47.86	Facility		$15.14	$26.92	$47.86
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 $21.88 / $29.51 / $72.44	Professional		$21.88	$29.51	$72.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.90 / $144.54	Facility		$23.99	$30.90	$144.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $40.74	Professional		$19.95	$28.84	$40.74
Health Alliance Plan Facility/Professional Professional Modifier CO Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $51.29	Professional		$21.38	$29.51	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.90 / $33.88	Facility		$24.55	$30.90	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $33.88	Professional		$25.12	$28.84	$33.88