Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $6.92 / $23.99	Facility		$2.09	$6.92	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $5.62	Professional		$2.00	$2.00	$5.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $4.57 / $9.12	Facility		$2.45	$4.57	$9.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.07 / $1.07	Professional		$1.00	$1.07	$1.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Facility		$2.88	$2.88	$2.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $7.08 / $38.90	Facility		$2.09	$7.08	$38.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.14 / $3.16	Professional		$2.00	$2.14	$3.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $3.63	Facility		$2.04	$2.04	$3.63
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.24	Professional		$2.04	$2.04	$2.24