Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $162.18 / $436.52	Facility		$60.26	$162.18	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $97.72 / $302.00	Professional		$46.77	$97.72	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $75.86 / $134.90	Professional		$30.20	$75.86	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $93.33	Facility		$38.90	$38.90	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $138.04	Professional		$58.88	$93.33	$138.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $58.88 / $89.13	Facility		$47.86	$58.88	$89.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $186.21	Professional		$79.43	$107.15	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $79.43 / $138.04	Professional		$42.66	$79.43	$138.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $162.18 / $436.52	Facility		$58.88	$162.18	$436.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $100.00 / $181.97	Professional		$53.70	$100.00	$181.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $138.04	Professional		$39.81	$70.79	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $794.33 / $1,737.80	Facility		$123.03	$794.33	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $81.28 / $112.20	Professional		$46.77	$81.28	$112.20