Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,884.03 / $6,918.31	Facility		$416.87	$2,884.03	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $912.01	Professional		$316.23	$407.38	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $489.78 / $489.78	Facility		$83.18	$489.78	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $489.78 / $512.86	Professional		$97.72	$489.78	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $407.38 / $562.34	Facility		$309.03	$407.38	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $741.31	Professional		$309.03	$416.87	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $1,000.00	Professional		$316.23	$436.52	$1,000.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,884.03 / $6,918.31	Facility		$416.87	$2,884.03	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $724.44	Professional		$218.78	$389.05	$724.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $1,000.00	Professional		$263.03	$389.05	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,162.28 / $7,244.36	Facility		$588.84	$3,162.28	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $630.96	Professional		$316.23	$436.52	$630.96