Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,951.21	Professional		$794.33	$1,148.15	$2,951.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $776.25	Professional		$741.31	$741.31	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,548.82	Professional		$1,380.38	$1,445.44	$1,548.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,949.84	Professional		$1,122.02	$1,122.02	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $2,089.30	Professional		$1,202.26	$2,041.74	$2,089.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,949.84	Professional		$912.01	$1,258.93	$1,949.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $2,089.30	Professional		$1,202.26	$2,041.74	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,089.30	Professional		$1,122.02	$1,479.11	$2,089.30