Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,230.27 / $4,897.79	Facility		$371.54	$1,230.27	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $1,258.93	Professional		$257.04	$489.78	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $426.58	Professional		$213.80	$302.00	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $446.68	Facility		$281.84	$281.84	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $741.31	Professional		$269.15	$446.68	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $1,445.44	Professional		$316.23	$501.19	$1,445.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,318.26 / $4,897.79	Facility		$371.54	$1,318.26	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $537.03 / $891.25	Professional		$269.15	$537.03	$891.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $1,258.93	Professional		$316.23	$478.63	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,000.00 / $1,862.09	Facility		$478.63	$1,000.00	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $676.08	Professional		$316.23	$512.86	$676.08