Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $26.92	Professional		$12.88	$19.05	$26.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $95.50 / $181.97	Facility		$39.81	$95.50	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $33.11	Professional		$31.62	$31.62	$33.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.05 / $37.15	Professional		$16.22	$19.05	$37.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $66.07	Facility		$24.55	$30.20	$66.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $38.90	Professional		$19.05	$25.70	$38.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.05 / $23.44	Professional		$16.22	$19.05	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.30 / $19.95	Facility		$9.12	$12.30	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.79 / $22.39	Professional		$10.47	$14.79	$22.39