Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $48.98	Professional		$23.99	$34.67	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $169.82 / $331.13	Facility		$72.44	$169.82	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $60.26	Professional		$57.54	$57.54	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $72.44	Professional		$23.44	$23.44	$72.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $107.15 / $120.23	Facility		$42.66	$107.15	$120.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $69.18	Professional		$33.88	$45.71	$69.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $42.66	Professional		$23.44	$23.44	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $22.39 / $36.31	Facility		$16.22	$22.39	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $40.74	Professional		$19.05	$26.92	$40.74