Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $23.44 / $4,570.88	Facility		$8.51	$23.44	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $5,248.07	Professional		$7.94	$7.94	$5,248.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $144.54	Facility		$39.81	$39.81	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.90 / $40.74	Professional		$37.15	$38.90	$40.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $33.88 / $41.69	Facility		$28.18	$33.88	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $64.57	Professional		$28.18	$28.18	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.51	Professional		$8.13	$8.13	$8.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $26.30 / $4,570.88	Facility		$8.13	$26.30	$4,570.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.13 / $21.38	Professional		$7.94	$8.13	$21.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.91	Professional		$8.13	$8.13	$8.91
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $25.12 / $28.18	Facility		$8.13	$25.12	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.12 / $25.70	Professional		$8.13	$9.12	$25.70