Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $75.86	Professional		$40.74	$60.26	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $346.74	Facility		$95.50	$95.50	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $95.50 / $95.50	Professional		$89.13	$95.50	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $57.54 / $77.62	Facility		$5.89	$57.54	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $79.43	Facility		$64.57	$64.57	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $112.20	Professional		$64.57	$64.57	$112.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $64.57 / $120.23	Professional		$7.59	$64.57	$120.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $79.43	Facility		$64.57	$64.57	$79.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $79.43	Professional		$64.57	$64.57	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $36.31 / $66.07	Facility		$4.07	$36.31	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $81.28	Professional		$36.31	$57.54	$81.28