Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $295.12 / $4,897.79	Facility		$74.13	$295.12	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $114.82 / $354.81	Professional		$46.77	$114.82	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $109.65	Professional		$85.11	$85.11	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $11.48 / $11.48	Facility		$10.47	$11.48	$11.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $151.36	Professional		$39.81	$57.54	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $97.72 / $239.88	Professional		$44.67	$97.72	$239.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $257.04 / $4,897.79	Facility		$74.13	$257.04	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $109.65 / $208.93	Professional		$48.98	$109.65	$208.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $95.50 / $251.19	Professional		$44.67	$95.50	$251.19
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 $52.48 / $93.33 / $147.91	Professional		$52.48	$93.33	$147.91