Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $45.71	Professional		$23.99	$34.67	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $213.80	Facility		$44.67	$44.67	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $56.23 / $58.88	Professional		$4.57	$56.23	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $30.90 / $41.69	Facility		$3.80	$30.90	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $41.69	Facility		$38.90	$38.90	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $67.61	Professional		$38.90	$38.90	$67.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $44.67 / $64.57	Professional		$5.75	$44.67	$64.57
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $51.29	Professional		$38.90	$38.90	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $21.38 / $42.66	Facility		$2.57	$21.38	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $48.98	Professional		$22.91	$33.11	$48.98