Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,348.96 / $4,897.79	Facility		$218.78	$1,348.96	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $467.74 / $1,778.28	Professional		$190.55	$467.74	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $575.44	Professional		$257.04	$371.54	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $562.34 / $562.34	Facility		$47.86	$562.34	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $660.69	Professional		$177.83	$302.00	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $354.81 / $891.25	Professional		$173.78	$354.81	$891.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,148.15 / $4,897.79	Facility		$281.84	$1,148.15	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $436.52 / $912.01	Professional		$204.17	$436.52	$912.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $354.81 / $794.33	Professional		$173.78	$354.81	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,041.74	Facility		$467.74	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $489.78	Professional		$199.53	$346.74	$489.78