Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $10.93 / $228.94	Facility		$10.93	$10.93	$228.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.93 / $12.85	Professional		$10.62	$10.93	$12.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $27.10 / $53.10	Facility		$14.96	$27.10	$53.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.69 / $10.69	Professional		$10.16	$10.69	$10.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $14.54 / $14.54	Facility		$14.54	$14.54	$14.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $33.45 / $33.45	Professional		$12.20	$33.45	$33.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $19.13 / $39.35	Facility		$10.62	$19.13	$39.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.93 / $19.23	Professional		$10.62	$10.93	$19.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $11.27	Professional		$10.62	$10.62	$11.27