Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $25.12 / $39.81	Facility		$12.88	$25.12	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $25.12	Professional		$12.02	$12.02	$25.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $0.40 / $0.40	Facility		$0.40	$0.40	$0.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.40 / $0.40	Professional		$0.38	$0.40	$0.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $48.98	Facility		$12.59	$12.59	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $15.85	Professional		$12.59	$12.59	$15.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $35.48 / $95.50	Facility		$13.49	$35.48	$95.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.18 / $25.12	Professional		$12.02	$13.18	$25.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $48.98	Facility		$12.59	$12.59	$48.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $48.98	Professional		$12.59	$12.59	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $5.89 / $24.55	Facility		$0.15	$5.89	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.59 / $14.79	Professional		$5.01	$12.59	$14.79