Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $41.69	Professional		$18.20	$26.92	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $144.54 / $281.84	Facility		$61.66	$144.54	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $51.29	Professional		$47.86	$47.86	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.12 / $56.23	Professional		$24.55	$25.12	$56.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $91.20 / $102.33	Facility		$36.31	$91.20	$102.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $58.88	Professional		$26.92	$38.90	$58.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $36.31	Professional		$24.55	$28.84	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $18.62 / $30.90	Facility		$13.80	$18.62	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.91 / $34.67	Professional		$16.22	$22.91	$34.67