Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $436.52 / $2,041.74	Facility		$117.49	$436.52	$2,041.74
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	52	$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $446.68	Professional		$89.13	$154.88	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $134.90	Professional		$74.13	$107.15	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $151.36	Facility		$72.44	$72.44	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $151.36 / $173.78	Professional		$74.13	$151.36	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $186.21	Facility		$128.82	$128.82	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $467.74	Professional		$91.20	$138.04	$467.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $436.52 / $2,238.72	Facility		$134.90	$436.52	$2,238.72
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	52	$199.53	$199.53	$199.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $257.04	Professional		$97.72	$147.91	$257.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $407.38	Professional		$89.13	$125.89	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,000.00 / $1,862.09	Facility		$316.23	$1,000.00	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $165.96	Professional		$95.50	$125.89	$165.96