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 $25.12 / $30.90 / $44.67	Professional		$25.12	$30.90	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $181.97 / $346.74	Facility		$75.86	$181.97	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $60.26 / $63.10	Professional		$56.23	$60.26	$63.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $70.79	Professional		$24.55	$33.11	$70.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $114.82 / $125.89	Facility		$33.88	$114.82	$125.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $72.44	Professional		$30.20	$47.86	$72.44
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $35.48	Professional		$24.55	$33.11	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $47.86 / $72.44	Facility		$18.20	$47.86	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $42.66	Professional		$20.89	$28.18	$42.66