Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $104.71 / $4,897.79	Facility		$41.69	$104.71	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $60.26 / $162.18	Professional		$14.13	$60.26	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $58.88 / $91.20	Professional		$11.75	$58.88	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $22.91 / $22.91	Facility		$14.45	$22.91	$22.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.91 / $112.20	Professional		$14.45	$22.91	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $70.79	Facility		$19.95	$19.95	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $47.86 / $109.65	Professional		$14.45	$47.86	$109.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $131.83 / $4,897.79	Facility		$41.69	$131.83	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $58.88 / $112.20	Professional		$17.38	$58.88	$112.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $43.65 / $97.72	Professional		$14.45	$43.65	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $831.76 / $1,862.09	Facility		$154.88	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $43.65 / $70.79	Professional		$16.60	$43.65	$70.79