Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $81.28	Professional		$51.29	$69.18	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $114.82	Professional		$97.72	$102.33	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $79.43	Professional		$61.66	$61.66	$79.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $70.79 / $173.78	Facility		$66.07	$70.79	$173.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $89.13	Professional		$56.23	$70.79	$89.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $75.86	Professional		$61.66	$61.66	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $61.66 / $75.86	Facility		$58.88	$61.66	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $117.49	Professional		$63.10	$79.43	$117.49