Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $524.81 / $4,897.79	Facility		$173.78	$524.81	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $776.25	Professional		$165.96	$288.40	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $269.15	Professional		$141.25	$234.42	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $295.12 / $489.78	Professional		$58.88	$295.12	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $933.25	Professional		$194.98	$302.00	$933.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $524.81 / $4,897.79	Facility		$186.21	$524.81	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $524.81	Professional		$181.97	$309.03	$524.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $831.76	Professional		$190.55	$275.42	$831.76
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 $199.53 / $275.42 / $371.54	Professional		$199.53	$275.42	$371.54