Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $44.67	Professional		$21.88	$33.11	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $158.49 / $302.00	Facility		$66.07	$158.49	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $54.95	Professional		$52.48	$52.48	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $35.48	Facility		$34.67	$34.67	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $60.26	Professional		$21.38	$29.51	$60.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $100.00 / $109.65	Facility		$38.90	$100.00	$109.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $64.57	Professional		$30.90	$41.69	$64.57
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $35.48	Facility		$34.67	$34.67	$35.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $37.15	Professional		$21.38	$29.51	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $19.95 / $33.11	Facility		$14.13	$19.95	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $37.15	Professional		$17.38	$24.55	$37.15