Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $109.65 / $281.84	Facility		$50.12	$109.65	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $104.71	Professional		$28.18	$50.12	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $39.81 / $56.23	Professional		$19.50	$39.81	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $64.57 / $64.57	Facility		$43.65	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $58.88 / $69.18	Professional		$29.51	$58.88	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $51.29	Facility		$33.11	$33.11	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $56.23	Professional		$38.90	$54.95	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $72.44	Professional		$27.54	$40.74	$72.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $117.49 / $281.84	Facility		$43.65	$117.49	$281.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $85.11	Professional		$30.20	$48.98	$85.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $67.61	Professional		$25.70	$38.02	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $794.33 / $1,737.80	Facility		$100.00	$794.33	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $56.23	Professional		$30.20	$40.74	$56.23