Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $72.44	Professional		$40.74	$52.48	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $295.12 / $562.34	Facility		$125.89	$295.12	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $102.33	Professional		$93.33	$97.72	$102.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $114.82	Professional		$47.86	$66.07	$114.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $186.21 / $208.93	Facility		$56.23	$186.21	$208.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $120.23	Professional		$48.98	$77.62	$120.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $70.79	Professional		$47.86	$66.07	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $79.43 / $120.23	Facility		$29.51	$79.43	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $70.79	Professional		$34.67	$45.71	$70.79