Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $37.15	Professional		$18.20	$26.92	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $128.82 / $245.47	Facility		$54.95	$128.82	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $44.67	Professional		$42.66	$42.66	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $50.12	Professional		$21.88	$25.70	$50.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $81.28 / $91.20	Facility		$32.36	$81.28	$91.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $52.48	Professional		$25.70	$34.67	$52.48
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $31.62	Professional		$21.88	$25.70	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $16.60 / $27.54	Facility		$11.75	$16.60	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.95 / $30.90	Professional		$14.45	$19.95	$30.90