Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $25.12	Professional		$12.88	$19.05	$25.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $120.23	Facility		$24.55	$24.55	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $24.55 / $32.36	Professional		$22.91	$24.55	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $16.22 / $21.88	Facility		$2.09	$16.22	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $28.84	Facility		$21.88	$21.88	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $37.15	Professional		$21.88	$21.88	$37.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $25.12 / $37.15	Professional		$2.95	$25.12	$37.15
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $28.84	Facility		$21.88	$21.88	$28.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $28.84	Professional		$21.88	$21.88	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $12.30 / $23.44	Facility		$1.41	$12.30	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.05 / $26.92	Professional		$12.59	$19.05	$26.92