Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $42.66	Professional		$22.91	$33.11	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $204.17	Facility		$41.69	$41.69	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $56.23 / $56.23	Professional		$5.75	$56.23	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $27.54 / $37.15	Facility		$3.63	$27.54	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $63.10	Professional		$37.15	$37.15	$63.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $40.74 / $57.54	Professional		$5.62	$40.74	$57.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $47.86	Professional		$37.15	$37.15	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $18.62 / $40.74	Facility		$2.24	$18.62	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $45.71	Professional		$21.38	$29.51	$45.71