Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $316.23 / $4,897.79	Facility		$93.33	$316.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $275.42	Professional		$69.18	$112.20	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $109.65	Professional		$69.18	$85.11	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.20 / $18.20	Facility		$16.22	$18.20	$18.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $117.49	Professional		$51.29	$91.20	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $380.19	Professional		$60.26	$89.13	$380.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $295.12 / $4,897.79	Facility		$95.50	$295.12	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $186.21	Professional		$72.44	$104.71	$186.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $331.13	Professional		$56.23	$83.18	$331.13
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 $70.79 / $87.10 / $117.49	Professional		$70.79	$87.10	$117.49