Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,041.74 / $6,165.95	Facility		$181.97	$2,041.74	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $190.55 / $467.74	Professional		$89.13	$190.55	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $218.78	Professional		$70.79	$93.33	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $97.72	Facility		$30.20	$30.20	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $251.19	Professional		$144.54	$177.83	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $724.44	Professional		$128.82	$190.55	$724.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,659.59 / $5,888.44	Facility		$181.97	$1,659.59	$5,888.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $346.74	Professional		$123.03	$208.93	$346.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $630.96	Professional		$125.89	$177.83	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,862.09 / $4,073.80	Facility		$549.54	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $251.19	Professional		$147.91	$186.21	$251.19