Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $346.74 / $4,897.79	Facility		$134.90	$346.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $239.88 / $741.31	Professional		$102.33	$239.88	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $208.93	Professional		$85.11	$147.91	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $162.18	Facility		$23.99	$23.99	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $199.53	Professional		$107.15	$120.23	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $489.78	Professional		$109.65	$186.21	$489.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $562.34 / $4,897.79	Facility		$134.90	$562.34	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $457.09	Professional		$107.15	$194.98	$457.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $436.52	Professional		$107.15	$177.83	$436.52
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 $107.15 / $186.21 / $257.04	Professional		$107.15	$186.21	$257.04