Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,445.44 / $3,019.95	Facility		$177.83	$1,445.44	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $239.88 / $794.33	Professional		$102.33	$239.88	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $380.19	Professional		$91.20	$138.04	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $31.62 / $31.62	Facility		$26.92	$31.62	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $416.87	Professional		$151.36	$158.49	$416.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $158.49 / $223.87	Facility		$120.23	$158.49	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $549.54	Professional		$234.42	$323.59	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $436.52	Professional		$95.50	$190.55	$436.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,258.93 / $3,019.95	Facility		$257.04	$1,258.93	$3,019.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $257.04 / $512.86	Professional		$109.65	$257.04	$512.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $181.97 / $389.05	Professional		$89.13	$181.97	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,778.28 / $4,073.80	Facility		$537.03	$1,778.28	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $338.84	Professional		$112.20	$223.87	$338.84