Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $16.14 / $46.64	Facility		$2.35	$16.14	$46.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $1.27	Professional		$0.72	$0.72	$1.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $2.34 / $4.26	Facility		$1.25	$2.34	$4.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.42 / $0.42	Facility		$0.42	$0.42	$0.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.77 / $1.77	Professional		$0.42	$0.77	$1.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $12.24 / $74.05	Facility		$0.85	$12.24	$74.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.85 / $1.40	Professional		$0.72	$0.85	$1.40
United Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.75 / $0.80	Professional		$0.75	$0.75	$0.80