Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $85.11 / $269.15	Facility		$4.07	$85.11	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.80 / $87.10	Professional		$3.02	$3.80	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $8.51 / $16.98	Facility		$4.57	$8.51	$16.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.35 / $1.35	Professional		$1.26	$1.35	$1.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $77.62 / $269.15	Facility		$4.17	$77.62	$269.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.07 / $10.00	Professional		$3.02	$4.07	$10.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $5.75	Facility		$3.80	$3.80	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.07 / $5.01	Professional		$3.80	$4.07	$5.01