Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $54.95 / $501.19	Facility		$17.38	$54.95	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $25.70 / $1,380.38	Professional		$1.51	$25.70	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.38 / $0.83	Facility		$0.23	$0.38	$0.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.22 / $0.23	Professional		$0.21	$0.22	$0.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.33	Facility		$0.22	$0.22	$0.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.35	Professional		$0.22	$0.22	$0.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.28	Professional		$0.22	$0.22	$0.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $34.67 / $75.86	Facility		$0.33	$34.67	$75.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.24 / $0.34	Professional		$0.22	$0.24	$0.34
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.26	Professional		$0.22	$0.22	$0.26
United Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.36 / $0.58	Facility		$0.22	$0.36	$0.58
United Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.24	Professional		$0.22	$0.22	$0.24