Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $758.58	Facility		$416.87	$512.86	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $537.03	Professional		$416.87	$416.87	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $223.87 / $398.11	Facility		$151.36	$223.87	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $151.36	Professional		$141.25	$151.36	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $630.96 / $1,023.29	Facility		$416.87	$630.96	$1,023.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $562.34	Professional		$436.52	$537.03	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $524.81	Professional		$416.87	$416.87	$524.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,096.48	Facility		$416.87	$524.81	$1,096.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $436.52 / $630.96	Professional		$398.11	$436.52	$630.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $416.87 / $501.19	Facility		$371.54	$416.87	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $416.87	Professional		$173.78	$229.09	$416.87