Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $21.88	Professional		$10.00	$15.14	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $66.07 / $125.89	Facility		$28.18	$66.07	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $22.91	Professional		$21.88	$21.88	$22.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.85	Facility		$15.49	$15.49	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $30.20	Professional		$10.47	$13.18	$30.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $41.69 / $46.77	Facility		$15.85	$41.69	$46.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.78 / $26.92	Professional		$13.18	$17.78	$26.92
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.85	Facility		$15.49	$15.49	$15.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $18.20	Professional		$10.47	$13.18	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $10.00 / $16.60	Facility		$7.41	$10.00	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.47 / $15.85	Professional		$8.51	$10.47	$15.85