Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $676.08 / $4,897.79	Facility		$30.90	$676.08	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $40.74 / $371.54	Professional		$21.88	$40.74	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.99 / $35.48	Professional		$18.62	$23.99	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $39.81	Professional		$22.91	$37.15	$39.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.02 / $112.20	Professional		$21.88	$38.02	$112.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $676.08 / $4,897.79	Facility		$31.62	$676.08	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $43.65 / $93.33	Professional		$24.55	$43.65	$93.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $36.31 / $100.00	Professional		$20.89	$36.31	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,041.74	Facility		$467.74	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $54.95	Professional		$25.12	$38.02	$54.95