Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $21.88	Professional		$10.96	$14.13	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $81.28 / $154.88	Facility		$34.67	$81.28	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $26.92 / $28.18	Professional		$25.70	$26.92	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $31.62	Professional		$12.30	$16.98	$31.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $51.29 / $57.54	Facility		$15.14	$51.29	$57.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.38 / $33.11	Professional		$12.88	$21.38	$33.11
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $18.20	Professional		$12.30	$16.98	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $21.88 / $34.67	Facility		$15.49	$21.88	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $19.50	Professional		$10.47	$12.88	$19.50