Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $100.00	Professional		$54.95	$66.07	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $354.81 / $676.08	Facility		$147.91	$354.81	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $123.03	Professional		$112.20	$117.49	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $138.04	Professional		$54.95	$75.86	$138.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $223.87 / $251.19	Facility		$66.07	$223.87	$251.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $144.54	Professional		$63.10	$93.33	$144.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $77.62	Professional		$54.95	$75.86	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $93.33 / $158.49	Facility		$38.90	$93.33	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $83.18	Professional		$45.71	$56.23	$83.18