Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $47.86	Professional		$26.92	$33.88	$47.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $194.98 / $371.54	Facility		$81.28	$194.98	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $64.57 / $67.61	Professional		$61.66	$64.57	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $75.86	Professional		$28.18	$38.02	$75.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $123.03 / $138.04	Facility		$36.31	$123.03	$138.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $79.43	Professional		$32.36	$51.29	$79.43
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $39.81	Professional		$28.18	$38.02	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $51.29 / $77.62	Facility		$19.50	$51.29	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $45.71	Professional		$22.39	$30.20	$45.71