Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $954.99 / $4,897.79	Facility		$234.42	$954.99	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $457.09	Professional		$114.82	$213.80	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $186.21	Professional		$81.28	$125.89	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $190.55 / $190.55	Facility		$169.82	$190.55	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $169.82 / $309.03	Professional		$38.02	$169.82	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $776.25	Professional		$138.04	$234.42	$776.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $831.76 / $4,897.79	Facility		$263.03	$831.76	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $407.38	Professional		$134.90	$239.88	$407.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $691.83	Professional		$138.04	$218.78	$691.83
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 $162.18 / $229.09 / $309.03	Professional		$162.18	$229.09	$309.03