Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $19.05	Facility		$18.20	$18.20	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $23.99	Professional		$15.14	$18.20	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $23.99 / $30.90	Facility		$22.91	$23.99	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $30.90	Professional		$22.91	$27.54	$30.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.95 / $27.54	Professional		$13.49	$19.95	$27.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.05 / $30.90	Facility		$18.20	$19.05	$30.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $30.90	Professional		$15.14	$19.05	$30.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $27.54	Professional		$18.20	$21.88	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $9.12 / $104.71	Facility		$7.08	$9.12	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $33.11	Professional		$19.50	$23.99	$33.11