Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $26.41 / $96.15	Facility		$6.30	$26.41	$96.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $25.04 / $27.80	Professional		$24.19	$25.04	$27.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $31.45 / $55.23	Facility		$21.84	$31.45	$55.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $20.85 / $28.15	Professional		$14.18	$20.85	$28.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $27.80 / $75.48	Facility		$20.85	$27.80	$75.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $27.80	Professional		$18.07	$18.07	$27.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $31.80 / $39.75	Professional		$21.38	$31.80	$39.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $26.41 / $59.81	Facility		$23.77	$26.41	$59.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $27.80 / $37.84	Professional		$24.19	$27.80	$37.84
United Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $17.05 / $24.12	Professional		$11.68	$17.05	$24.12