Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $173.78 / $346.74	Facility		$67.61	$173.78	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $194.98	Professional		$48.98	$83.18	$194.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $181.97 / $323.59	Professional	50	$154.88	$181.97	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $102.33	Professional		$47.86	$72.44	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $75.86 / $75.86	Facility		$46.77	$75.86	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $120.23	Professional		$69.18	$114.82	$120.23
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $181.97 / $181.97	Professional	50	$120.23	$181.97	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $72.44 / $104.71	Facility		$56.23	$72.44	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $162.18	Professional		$69.18	$93.33	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $131.83	Professional		$47.86	$69.18	$131.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $173.78 / $371.54	Facility		$66.07	$173.78	$371.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $147.91	Professional		$53.70	$85.11	$147.91
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $154.88 / $323.59	Professional	50	$154.88	$154.88	$323.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $120.23	Professional		$41.69	$66.07	$120.23
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 $51.29 / $69.18 / $95.50	Professional		$51.29	$69.18	$95.50