Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $23.99 / $56.23	Facility		$14.45	$23.99	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $35.48	Professional		$15.85	$20.42	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.92 / $47.86	Facility		$18.20	$26.92	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.20 / $18.20	Professional		$16.98	$18.20	$18.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $60.26	Facility		$25.12	$25.12	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $27.54 / $34.67	Professional		$12.30	$27.54	$34.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $23.99 / $67.61	Facility		$14.45	$23.99	$67.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $28.84	Professional		$13.49	$20.42	$28.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $29.51	Professional		$11.22	$13.80	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $23.99 / $23.99	Facility		$12.02	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.71 / $14.45	Professional		$6.31	$8.71	$14.45