Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $16.98	Professional		$7.08	$10.00	$16.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $56.23 / $109.65	Facility		$23.99	$56.23	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Professional		$19.05	$19.05	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.30 / $21.88	Professional		$8.91	$12.30	$21.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $35.48 / $39.81	Facility		$10.00	$35.48	$39.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $22.91	Professional		$10.00	$15.14	$22.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.30 / $12.59	Professional		$8.91	$12.30	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $15.14 / $25.12	Facility		$7.08	$15.14	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.91 / $13.49	Professional		$7.24	$8.91	$13.49