Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $3,162.28 / $11,748.98	Facility		$30.90	$3,162.28	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $4,466.84	Professional		$30.20	$30.90	$4,466.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $95.50 / $190.55	Facility		$51.29	$95.50	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $43.65	Professional		$41.69	$43.65	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $102.33 / $11,748.98	Facility		$31.62	$102.33	$11,748.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $56.23	Professional		$30.20	$33.11	$56.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $30.20 / $34.67	Facility		$29.51	$30.20	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $50.12	Professional		$31.62	$42.66	$50.12