Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $10.11 / $48.80	Facility		$0.02	$10.11	$48.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $16.51 / $45.00	Professional		$0.02	$16.51	$45.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.04 / $21.04 / $21.04	Facility		$21.04	$21.04	$21.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $21.04 / $28.40	Professional		$14.31	$21.04	$28.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $30.00 / $73.31	Facility		$22.50	$30.00	$73.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $30.00	Professional		$19.50	$19.50	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $34.69 / $43.37	Professional		$7.69	$34.69	$43.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $9.40 / $45.00	Facility		$0.02	$9.40	$45.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $10.81 / $36.00	Professional		$9.40	$10.81	$36.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $6.00 / $18.00	Professional		$4.33	$6.00	$18.00