Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $54.95	Professional		$26.92	$38.90	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $190.55 / $363.08	Facility		$79.43	$190.55	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $66.07	Professional		$63.10	$63.10	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $46.77	Facility		$38.02	$38.02	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $74.13	Professional		$32.36	$38.02	$74.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $120.23 / $134.90	Facility		$47.86	$120.23	$134.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $77.62	Professional		$38.02	$51.29	$77.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $46.77	Facility		$38.02	$38.02	$46.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $46.77	Professional		$32.36	$38.02	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $29.51 / $42.66	Facility		$18.20	$29.51	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $44.67	Professional		$20.89	$29.51	$44.67