Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $45.71	Professional		$25.70	$32.36	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $186.21 / $354.81	Facility		$77.62	$186.21	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $61.66 / $64.57	Professional		$58.88	$61.66	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $70.79	Professional		$26.92	$36.31	$70.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $117.49 / $128.82	Facility		$34.67	$117.49	$128.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $75.86	Professional		$30.20	$48.98	$75.86
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $38.90	Professional		$26.92	$36.31	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $48.98 / $74.13	Facility		$18.62	$48.98	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $43.65	Professional		$21.38	$28.84	$43.65