Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $23.80 / $4,933.00	Facility		$4.13	$23.80	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $8.14 / $8.14	Professional		$4.43	$8.14	$8.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $1.19 / $6.38	Facility		$1.19	$1.19	$6.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $4.34 / $8.61	Professional		$1.19	$4.34	$8.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $9.09 / $9.53	Facility		$6.82	$9.09	$9.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $5.91 / $9.09	Professional		$5.91	$5.91	$9.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $9.38 / $11.72	Professional		$1.58	$9.38	$11.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $8.14 / $4,933.00	Facility		$2.82	$8.14	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.22 / $10.90	Professional		$2.82	$3.22	$10.90
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.80 / $3.00	Professional		$1.26	$1.80	$3.00