Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $19.95	Professional		$10.96	$14.13	$19.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $83.18 / $158.49	Facility		$34.67	$83.18	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $27.54 / $28.84	Professional		$26.30	$27.54	$28.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $32.36	Professional		$11.22	$15.49	$32.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $52.48 / $58.88	Facility		$15.14	$52.48	$58.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.88 / $33.88	Professional		$12.88	$21.88	$33.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $15.85	Professional		$11.22	$15.49	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $21.88 / $33.88	Facility		$8.32	$21.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.88 / $19.50	Professional		$9.55	$12.88	$19.50