Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $309.03 / $2,041.74	Facility		$51.29	$309.03	$2,041.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $1,513.56 / $1,949.84	Facility	50	$933.25	$1,513.56	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $69.18 / $169.82	Professional		$37.15	$69.18	$169.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $147.91 / $323.59	Professional	50	$79.43	$147.91	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $69.18	Professional		$31.62	$50.12	$69.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $83.18 / $104.71	Professional	50	$70.79	$83.18	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $43.65 / $43.65	Facility		$6.76	$43.65	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $64.57	Professional		$38.90	$45.71	$64.57
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $93.33 / $104.71	Professional	50	$69.18	$93.33	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $53.70 / $77.62	Facility		$41.69	$53.70	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $120.23	Professional		$51.29	$69.18	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $97.72	Professional		$35.48	$52.48	$97.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $323.59 / $2,884.03	Facility		$61.66	$323.59	$2,884.03
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $371.54 / $933.25 / $2,187.76	Facility	50	$371.54	$933.25	$2,187.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $125.89	Professional		$40.74	$66.07	$125.89
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $131.83 / $380.19	Professional	50	$79.43	$131.83	$380.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $87.10	Professional		$34.67	$48.98	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $870.96 / $1,737.80	Facility		$229.09	$870.96	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $75.86	Professional		$38.90	$53.70	$75.86