Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.14 / $27.54	Facility		$12.02	$15.14	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.80 / $18.62	Professional		$12.02	$13.80	$18.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $17.78 / $31.62	Facility		$11.75	$17.78	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.75 / $11.75	Professional		$11.22	$11.75	$11.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $43.65	Facility		$16.60	$16.60	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.20 / $22.91	Professional		$11.22	$18.20	$22.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.14 / $54.95	Facility		$12.02	$15.14	$54.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.62 / $29.51	Professional		$12.88	$18.62	$29.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $19.50	Professional		$10.00	$12.59	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $15.85 / $15.85	Facility		$7.94	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $12.88 / $13.80	Professional		$6.61	$12.88	$13.80