Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $46.77	Professional		$25.12	$37.15	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $223.87	Facility		$4.79	$4.79	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $58.88 / $61.66	Professional		$4.79	$58.88	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $30.20 / $42.66	Facility		$3.98	$30.20	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $43.65	Facility		$40.74	$40.74	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $70.79	Professional		$40.74	$40.74	$70.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $46.77 / $66.07	Professional		$6.17	$46.77	$66.07
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $52.48	Professional		$40.74	$40.74	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $21.88 / $44.67	Facility		$2.63	$21.88	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $51.29	Professional		$23.99	$33.88	$51.29