Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $588.84 / $2,344.23	Facility		$50.12	$588.84	$2,344.23
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $398.11 / $398.11 / $660.69	Facility	50	$398.11	$398.11	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $64.57 / $177.83	Professional		$30.20	$64.57	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $41.69 / $56.23	Professional		$17.38	$41.69	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $46.77	Facility		$29.51	$29.51	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $70.79	Professional		$28.18	$50.12	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $39.81 / $50.12	Facility		$30.20	$39.81	$50.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $120.23	Professional		$74.13	$95.50	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $66.07 / $177.83	Professional		$33.88	$66.07	$177.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $588.84 / $4,677.35	Facility		$97.72	$588.84	$4,677.35
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $398.11 / $398.11 / $660.69	Facility	50	$398.11	$398.11	$660.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $63.10 / $154.88	Professional		$34.67	$63.10	$154.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $169.82	Professional		$32.36	$54.95	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $954.99 / $1,737.80	Facility		$316.23	$954.99	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $107.15	Professional		$34.67	$48.98	$107.15