Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Facility		$7.08	$7.08	$7.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.41 / $12.88	Professional		$6.03	$7.41	$12.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $151.36 / $288.40	Facility		$63.10	$151.36	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $52.48	Professional		$47.86	$50.12	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.89 / $28.84	Professional		$20.42	$20.89	$28.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $34.67 / $38.90	Facility		$7.08	$34.67	$38.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $13.18 / $19.95	Professional		$7.08	$13.18	$19.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $28.84	Professional		$20.89	$28.84	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $8.71 / $11.48	Facility		$6.03	$8.71	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.71 / $14.79	Professional		$6.31	$8.71	$14.79