Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $52.48	Professional		$28.84	$37.15	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $213.80 / $407.38	Facility		$89.13	$213.80	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $74.13	Professional		$67.61	$70.79	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $83.18	Professional		$28.84	$38.90	$83.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $134.90 / $151.36	Facility		$39.81	$134.90	$151.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $87.10	Professional		$34.67	$56.23	$87.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $40.74	Professional		$28.84	$38.90	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $56.23 / $85.11	Facility		$21.38	$56.23	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $50.12	Professional		$24.55	$33.11	$50.12