Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,000.00 / $4,897.79	Facility		$128.82	$1,000.00	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $151.36 / $416.87	Professional		$67.61	$151.36	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $117.49 / $141.25	Professional		$57.54	$117.49	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $125.89 / $125.89	Facility		$70.79	$125.89	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $194.98	Professional		$79.43	$125.89	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $512.86	Professional		$97.72	$144.54	$512.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $912.01 / $4,897.79	Facility		$128.82	$912.01	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $275.42	Professional		$87.10	$158.49	$275.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $446.68	Professional		$97.72	$138.04	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,000.00 / $1,862.09	Facility		$316.23	$1,000.00	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $190.55	Professional		$102.33	$141.25	$190.55