Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $53.70	Professional		$22.91	$38.90	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $190.55 / $363.08	Facility		$81.28	$190.55	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $67.61	Professional		$63.10	$63.10	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $38.02 / $38.02	Facility		$34.67	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $34.67 / $74.13	Professional		$32.36	$34.67	$74.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $120.23 / $134.90	Facility		$47.86	$120.23	$134.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $77.62	Professional		$36.31	$51.29	$77.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $38.02 / $38.02	Facility		$34.67	$38.02	$38.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $34.67 / $44.67	Professional		$32.36	$34.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $24.55 / $40.74	Facility		$18.20	$24.55	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $45.71	Professional		$21.38	$30.20	$45.71