Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $44.67	Professional		$23.99	$33.88	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $208.93	Facility		$5.75	$5.75	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $54.95 / $57.54	Professional		$5.75	$54.95	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $30.20 / $39.81	Facility		$3.72	$30.20	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $67.61	Professional		$38.02	$38.02	$67.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $43.65 / $63.10	Professional		$5.50	$43.65	$63.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $48.98	Professional		$38.02	$38.02	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $20.42 / $41.69	Facility		$2.45	$20.42	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $47.86	Professional		$22.39	$32.36	$47.86