Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $33.88	Professional		$18.20	$25.70	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $162.18	Facility		$33.11	$33.11	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $43.65	Professional		$31.62	$41.69	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $23.44 / $31.62	Facility		$2.69	$23.44	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $30.20	Facility		$27.54	$27.54	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $48.98	Professional		$27.54	$27.54	$48.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $33.88 / $50.12	Professional		$3.55	$33.88	$50.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $36.31	Professional		$27.54	$27.54	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $14.13 / $30.20	Facility		$1.82	$14.13	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $34.67	Professional		$15.14	$22.91	$34.67