Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $16.76 / $91.93	Facility		$12.74	$16.76	$91.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $12.77 / $25.44	Professional		$11.97	$12.77	$25.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $15.97 / $28.05	Facility		$11.09	$15.97	$28.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $10.59 / $14.30	Professional		$7.20	$10.59	$14.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $14.12 / $38.35	Facility		$10.59	$14.12	$38.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $9.18 / $14.12	Professional		$9.18	$9.18	$14.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $14.12 / $20.65	Professional		$8.00	$14.12	$20.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $14.08 / $83.66	Facility		$12.07	$14.08	$83.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $13.22 / $18.57	Professional		$11.50	$13.22	$18.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $7.10 / $11.33	Professional		$5.30	$7.10	$11.33