Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $512.86 / $2,884.03	Facility		$147.91	$512.86	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $107.15 / $302.00	Professional		$50.12	$107.15	$302.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	50	$281.84	$281.84	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $125.89	Professional		$46.77	$70.79	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $204.17	Professional		$53.70	$91.20	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $158.49	Facility		$79.43	$79.43	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $302.00	Professional		$51.29	$100.00	$302.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $501.19 / $1,949.84	Facility		$147.91	$501.19	$1,949.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $213.80	Professional		$53.70	$112.20	$213.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $251.19	Professional		$48.98	$85.11	$251.19
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 $56.23 / $85.11 / $147.91	Professional		$56.23	$85.11	$147.91