Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $20.89	Professional		$10.00	$15.14	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $72.44 / $138.04	Facility		$30.20	$72.44	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $25.12	Professional		$23.99	$23.99	$25.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $16.60	Facility		$15.85	$15.85	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $27.54	Professional		$9.77	$13.49	$27.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $45.71 / $51.29	Facility		$18.20	$45.71	$51.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $29.51	Professional		$14.13	$19.05	$29.51
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $16.60	Facility		$15.85	$15.85	$16.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $16.98	Professional		$9.77	$13.49	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $9.33 / $15.14	Facility		$6.61	$9.33	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $17.38	Professional		$7.94	$11.22	$17.38