Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $64.57	Professional		$34.67	$50.12	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $302.00	Facility		$83.18	$83.18	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $79.43 / $83.18	Professional		$8.32	$79.43	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $44.67 / $60.26	Facility		$5.37	$44.67	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $58.88	Facility		$54.95	$54.95	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $97.72	Professional		$54.95	$54.95	$97.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $64.57 / $93.33	Professional		$8.32	$64.57	$93.33
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 / $70.79	Professional		$54.95	$54.95	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $30.90 / $60.26	Facility		$3.63	$30.90	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $69.18	Professional		$32.36	$47.86	$69.18