Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $51.29	Professional		$28.18	$36.31	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $208.93 / $398.11	Facility		$87.10	$208.93	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $72.44	Professional		$66.07	$69.18	$72.44
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 $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $81.28	Professional		$33.11	$44.67	$81.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $131.83 / $147.91	Facility		$38.90	$131.83	$147.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $85.11	Professional		$33.88	$54.95	$85.11
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $47.86	Professional		$33.11	$44.67	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $54.95 / $83.18	Facility		$37.15	$54.95	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $48.98	Professional		$25.70	$33.11	$48.98