Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.13 / $19.95	Professional		$9.12	$14.13	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $31.62	Facility		$20.89	$20.89	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $27.54	Professional		$16.60	$23.44	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $28.84	Professional		$16.22	$16.22	$28.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $22.39 / $56.23	Facility		$19.50	$22.39	$56.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.05 / $26.30	Professional		$10.00	$19.05	$26.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $23.99	Professional		$16.22	$16.22	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.75 / $21.88	Professional		$7.94	$11.75	$21.88