Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $977.24 / $4,897.79	Facility		$0.65	$977.24	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $645.65 / $1,584.89	Professional		$331.13	$645.65	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $616.60 / $954.99	Professional		$309.03	$616.60	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $794.33 / $794.33	Facility		$331.13	$794.33	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,096.48	Professional		$524.81	$758.58	$1,096.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $1,659.59	Professional		$323.59	$616.60	$1,659.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,071.52 / $4,897.79	Facility		$416.87	$1,071.52	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $1,148.15	Professional		$346.74	$676.08	$1,148.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,479.11	Professional		$323.59	$602.56	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,202.26 / $2,089.30	Facility		$478.63	$1,202.26	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $831.76	Professional		$371.54	$616.60	$831.76