Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $32.36	Professional		$15.85	$23.99	$32.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $144.54	Facility		$39.81	$39.81	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $29.51 / $39.81	Professional		$3.02	$29.51	$39.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $20.89 / $27.54	Facility		$2.40	$20.89	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $33.88	Facility		$25.70	$25.70	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $44.67	Professional		$25.70	$25.70	$44.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $31.62 / $51.29	Professional		$3.63	$31.62	$51.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $33.88	Facility		$25.70	$25.70	$33.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $33.88	Professional		$25.70	$25.70	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $14.45 / $28.18	Facility		$1.82	$14.45	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.91 / $33.88	Professional		$14.79	$22.91	$33.88