Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $40.74	Professional		$21.88	$32.36	$40.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $194.98	Facility		$39.81	$39.81	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $53.70 / $53.70	Professional		$7.24	$53.70	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $28.84 / $41.69	Facility		$3.47	$28.84	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $37.15	Facility		$35.48	$35.48	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $63.10	Professional		$35.48	$35.48	$63.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $41.69 / $60.26	Professional		$5.37	$41.69	$60.26
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $45.71	Professional		$35.48	$35.48	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $19.95 / $38.02	Facility		$2.34	$19.95	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $44.67	Professional		$20.89	$30.90	$44.67