Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $44.67	Professional		$19.05	$19.05	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Facility		$9.12	$9.12	$9.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $9.12 / $9.12	Professional		$8.71	$9.12	$9.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $58.88	Facility		$23.44	$23.44	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.50	Professional		$15.85	$15.85	$19.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $38.02 / $42.66	Facility		$14.45	$38.02	$42.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.05 / $28.84	Professional		$14.45	$19.05	$28.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.02 / $28.18	Facility		$6.03	$12.02	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.77 / $14.79	Professional		$6.46	$9.77	$14.79