Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $69.18	Professional		$38.90	$47.86	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $275.42 / $524.81	Facility		$117.49	$275.42	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $91.20 / $95.50	Professional		$87.10	$91.20	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $107.15	Professional		$37.15	$51.29	$107.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $173.78 / $194.98	Facility		$52.48	$173.78	$194.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $112.20	Professional		$45.71	$74.13	$112.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $54.95	Professional		$37.15	$51.29	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $74.13 / $112.20	Facility		$27.54	$74.13	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $66.07	Professional		$32.36	$43.65	$66.07