Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $7.08	Professional		$3.02	$5.01	$7.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $26.30 / $50.12	Facility		$10.96	$26.30	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $9.12	Professional		$8.71	$8.71	$9.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Facility		$5.62	$5.62	$5.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Facility		$5.62	$5.62	$5.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.62 / $10.23	Professional		$4.79	$5.62	$10.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.50 / $18.20	Facility		$5.01	$5.50	$18.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.92 / $10.72	Professional		$5.01	$6.92	$10.72
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Facility		$5.62	$5.62	$5.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.62 / $6.46	Professional		$4.79	$5.62	$6.46
United Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $3.39 / $5.50	Facility		$2.40	$3.39	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.07 / $6.17	Professional		$2.88	$4.07	$6.17