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 / $14.13 / $18.20	Professional		$10.00	$14.13	$18.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $91.20	Facility		$24.55	$24.55	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $24.55	Professional		$18.62	$23.44	$24.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $12.02 / $15.85	Facility		$1.62	$12.02	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $26.30	Professional		$13.80	$13.80	$26.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $17.78 / $25.12	Professional		$2.34	$17.78	$25.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $18.20	Professional		$13.80	$13.80	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $7.08 / $15.85	Facility		$0.83	$7.08	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $17.38	Professional		$8.13	$11.48	$17.38