Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $66.07	Professional		$33.88	$43.65	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $234.42 / $446.68	Facility		$100.00	$234.42	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $81.28	Professional		$74.13	$77.62	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $91.20	Professional		$35.48	$48.98	$91.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $147.91 / $165.96	Facility		$43.65	$147.91	$165.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $95.50	Professional		$42.66	$63.10	$95.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $52.48	Professional		$35.48	$48.98	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $63.10 / $107.15	Facility		$39.81	$63.10	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $58.88	Professional		$32.36	$38.90	$58.88