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 $33.11 / $39.81 / $64.57	Professional		$33.11	$39.81	$64.57
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 $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $91.20	Professional		$52.48	$61.66	$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 $39.81 / $61.66 / $95.50	Professional		$39.81	$61.66	$95.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $64.57	Professional		$52.48	$61.66	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $63.10 / $95.50	Facility		$45.71	$63.10	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $54.95	Professional		$28.84	$37.15	$54.95