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 $37.15 / $51.29 / $75.86	Professional		$37.15	$51.29	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $346.74 / $660.69	Facility		$144.54	$346.74	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $120.23	Professional		$109.65	$114.82	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $134.90	Professional		$39.81	$53.70	$134.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $218.78 / $245.47	Facility		$64.57	$218.78	$245.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $141.25	Professional		$48.98	$91.20	$141.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $57.54	Professional		$39.81	$53.70	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $91.20 / $117.49	Facility		$29.51	$91.20	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $77.62	Professional		$36.31	$53.70	$77.62