Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $12.02	Facility		$10.00	$10.00	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $14.45	Professional		$7.08	$10.00	$14.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $26.92	Facility		$15.14	$18.20	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $14.79	Professional		$12.88	$12.88	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.48 / $28.84	Professional		$8.91	$11.48	$28.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.88 / $35.48	Facility		$12.02	$12.88	$35.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $16.98	Professional		$7.94	$12.02	$16.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.22 / $25.70	Professional		$8.51	$11.22	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.88 / $54.95	Professional		$13.49	$21.88	$54.95