Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $354.81 / $3,019.95	Facility		$0.68	$354.81	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $776.25	Professional		$138.04	$263.03	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $316.23	Professional		$162.18	$223.87	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $177.83 / $177.83	Facility		$31.62	$177.83	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $331.13	Professional		$100.00	$169.82	$331.13
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 $151.36 / $245.47 / $724.44	Professional		$151.36	$245.47	$724.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $380.19 / $4,897.79	Facility		$173.78	$380.19	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $457.09	Professional		$147.91	$257.04	$457.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $645.65	Professional		$138.04	$234.42	$645.65
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 $151.36 / $218.78 / $309.03	Professional		$151.36	$218.78	$309.03