Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $39.81	Professional		$20.89	$32.36	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $186.21	Facility		$51.29	$51.29	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $51.29 / $51.29	Professional		$5.13	$51.29	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $30.20 / $39.81	Facility		$3.39	$30.20	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $60.26	Professional		$26.30	$26.30	$60.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $38.90 / $57.54	Professional		$5.13	$38.90	$57.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $45.71	Professional		$26.30	$26.30	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $17.78 / $38.90	Facility		$2.09	$17.78	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $40.74	Professional		$19.95	$26.30	$40.74