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 $33.88 / $50.12 / $64.57	Professional		$33.88	$50.12	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $309.03	Facility		$83.18	$83.18	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $83.18 / $83.18	Professional		$8.32	$83.18	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $44.67 / $60.26	Facility		$5.25	$44.67	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $93.33	Professional		$46.77	$46.77	$93.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $64.57 / $93.33	Professional		$6.61	$64.57	$93.33
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $69.18	Professional		$46.77	$46.77	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $26.30 / $57.54	Facility		$3.39	$26.30	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $66.07	Professional		$29.51	$42.66	$66.07