Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $144.54 / $162.18	Facility		$51.29	$144.54	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $51.29 / $85.11	Professional		$50.12	$51.29	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $81.28 / $199.53	Facility		$51.29	$81.28	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $51.29 / $51.29	Professional		$48.98	$51.29	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $144.54 / $162.18	Facility		$53.70	$144.54	$162.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $77.62	Professional		$50.12	$52.48	$77.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $50.12 / $51.29	Facility		$48.98	$50.12	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $60.26	Professional		$50.12	$56.23	$60.26