Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,445.44 / $4,265.80	Facility		$354.81	$1,445.44	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $234.42 / $645.65	Professional		$112.20	$234.42	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $257.04	Professional		$81.28	$134.90	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $181.97 / $181.97	Facility		$114.82	$181.97	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $457.09	Professional		$114.82	$194.98	$457.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $151.36 / $208.93	Facility		$114.82	$151.36	$208.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $602.56	Professional		$263.03	$346.74	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $288.40 / $575.44	Professional		$131.83	$288.40	$575.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,412.54 / $3,630.78	Facility		$354.81	$1,412.54	$3,630.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $281.84 / $537.03	Professional		$120.23	$281.84	$537.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $457.09	Professional		$125.89	$269.15	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,398.83 / $5,623.41	Facility		$588.84	$2,398.83	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $446.68	Professional		$128.82	$257.04	$446.68