Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $281.84 / $4,897.79	Facility		$75.86	$281.84	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $125.89 / $478.63	Professional		$48.98	$125.89	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $141.25	Professional		$52.48	$97.72	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $60.26 / $60.26	Facility		$53.70	$60.26	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $60.26 / $151.36	Professional		$33.88	$60.26	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $134.90	Facility		$67.61	$67.61	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $245.47	Professional		$47.86	$95.50	$245.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $251.19 / $4,897.79	Facility		$75.86	$251.19	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $117.49 / $275.42	Professional		$54.95	$117.49	$275.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $245.47	Professional		$47.86	$93.33	$245.47
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 $53.70 / $91.20 / $144.54	Professional		$53.70	$91.20	$144.54