Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $17.38 / $22.91	Facility		$16.98	$17.38	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $19.05	Professional		$8.91	$12.02	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $67.61 / $128.82	Facility		$28.18	$67.61	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $23.44	Professional		$22.39	$22.39	$23.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.49 / $13.49	Facility		$9.55	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $25.12	Professional		$10.00	$11.48	$25.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $39.81 / $47.86	Facility		$16.98	$39.81	$47.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $27.54	Professional		$11.75	$17.78	$27.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.49 / $13.49	Facility		$9.55	$13.49	$13.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.48 / $16.60	Professional		$9.55	$11.48	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $8.71 / $14.13	Facility		$6.46	$8.71	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.47 / $15.85	Professional		$7.41	$10.47	$15.85