Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $30.20	Professional		$15.14	$20.89	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $104.71 / $199.53	Facility		$43.65	$104.71	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $36.31	Professional		$34.67	$34.67	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.89 / $39.81	Professional		$17.38	$20.89	$39.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $66.07 / $72.44	Facility		$25.70	$66.07	$72.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $41.69	Professional		$20.89	$27.54	$41.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.89 / $25.70	Professional		$17.38	$20.89	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $13.18 / $21.88	Facility		$9.33	$13.18	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $24.55	Professional		$11.48	$16.22	$24.55