Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,230.27 / $4,897.79	Facility		$257.04	$1,230.27	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $398.11 / $758.58	Professional		$181.97	$398.11	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $478.63	Professional		$109.65	$134.90	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $295.12	Facility		$50.12	$50.12	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $398.11	Professional		$281.84	$316.23	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $245.47 / $338.84	Facility		$186.21	$245.47	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $933.25	Professional		$407.38	$537.03	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $446.68 / $870.96	Professional		$213.80	$446.68	$870.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $891.25 / $4,897.79	Facility		$251.19	$891.25	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $446.68 / $741.31	Professional		$199.53	$446.68	$741.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $724.44	Professional		$204.17	$407.38	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,630.27 / $5,623.41	Facility		$588.84	$2,630.27	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $676.08	Professional		$213.80	$398.11	$676.08