Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $25.70	Professional		$14.13	$19.95	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $123.03	Facility		$33.88	$33.88	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $31.62 / $33.88	Professional		$3.39	$31.62	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $16.98 / $21.88	Facility		$2.14	$16.98	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $29.51	Facility		$22.91	$22.91	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $41.69	Professional		$22.91	$22.91	$41.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $24.55 / $34.67	Professional		$3.39	$24.55	$34.67
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $29.51	Facility		$22.91	$22.91	$29.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $29.51	Professional		$22.91	$22.91	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $11.75 / $24.55	Facility		$1.29	$11.75	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $23.99	Professional		$12.59	$16.22	$23.99