Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,041.74 / $8,511.38	Facility		$302.00	$2,041.74	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $363.08	Professional		$128.82	$151.36	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $190.55	Professional		$123.03	$158.49	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $213.80 / $213.80	Facility		$36.31	$213.80	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $213.80 / $223.87	Professional		$42.66	$213.80	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $204.17 / $302.00	Facility		$165.96	$204.17	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $331.13	Professional		$138.04	$186.21	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $302.00	Professional		$112.20	$173.78	$302.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,041.74 / $6,918.31	Facility		$302.00	$2,041.74	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $269.15	Professional		$131.83	$169.82	$269.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $263.03	Professional		$104.71	$158.49	$263.03
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 $138.04 / $181.97 / $229.09	Professional		$138.04	$181.97	$229.09