Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $158.49 / $316.23	Facility		$56.23	$158.49	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $66.07	Professional		$54.95	$54.95	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $56.23 / $56.23	Professional		$53.70	$56.23	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $56.23	Professional		$54.95	$54.95	$56.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $158.49 / $177.83	Facility		$58.88	$158.49	$177.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $56.23 / $75.86	Professional		$53.70	$56.23	$75.86
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $56.23	Professional		$54.95	$54.95	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $21.38 / $54.95	Facility		$0.05	$21.38	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $54.95 / $56.23	Professional		$21.88	$54.95	$56.23