Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $38.90	Professional		$19.95	$23.99	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $141.25 / $275.42	Facility		$60.26	$141.25	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $50.12	Professional		$44.67	$46.77	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $54.95	Professional		$22.39	$30.90	$54.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $89.13 / $100.00	Facility		$26.92	$89.13	$100.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $57.54	Professional		$22.91	$38.02	$57.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $32.36	Professional		$22.39	$30.90	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.02 / $57.54	Facility		$28.18	$38.02	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $35.48	Professional		$17.78	$22.39	$35.48