Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $28.84	Professional		$15.85	$19.95	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $114.82 / $218.78	Facility		$48.98	$114.82	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.02 / $39.81	Professional		$36.31	$38.02	$39.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.38 / $48.98	Professional		$15.49	$21.38	$48.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $72.44 / $81.28	Facility		$20.89	$72.44	$81.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.90 / $46.77	Professional		$19.05	$30.90	$46.77
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.38 / $44.67	Professional		$15.49	$21.38	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $30.90 / $46.77	Facility		$11.48	$30.90	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.78 / $27.54	Professional		$13.49	$17.78	$27.54