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 $41.69 / $48.98 / $81.28	Professional		$41.69	$48.98	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $275.42 / $537.03	Facility		$117.49	$275.42	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $97.72	Professional		$87.10	$93.33	$97.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $107.15	Professional		$43.65	$60.26	$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 $46.77 / $74.13 / $112.20	Professional		$46.77	$74.13	$112.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $63.10	Professional		$43.65	$60.26	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $74.13 / $123.03	Facility		$58.88	$74.13	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $69.18	Professional		$37.15	$44.67	$69.18