Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $67.61	Professional		$36.31	$52.48	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $323.59	Facility		$87.10	$87.10	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.07 / $87.10	Professional		$63.10	$66.07	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $44.67 / $60.26	Facility		$5.62	$44.67	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $61.66	Facility		$44.67	$44.67	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $102.33	Professional		$44.67	$44.67	$102.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $66.07 / $93.33	Professional		$8.71	$66.07	$93.33
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $74.13	Professional		$44.67	$44.67	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $26.92 / $61.66	Facility		$3.55	$26.92	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $66.07	Professional		$31.62	$42.66	$66.07