Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $616.60 / $977.24	Facility		$263.03	$616.60	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $524.81	Professional		$186.21	$239.88	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $354.81 / $660.69	Professional		$346.74	$354.81	$660.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $309.03 / $537.03	Facility		$204.17	$309.03	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $204.17	Professional		$181.97	$190.55	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $281.84	Facility		$194.98	$194.98	$281.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $446.68	Professional		$257.04	$257.04	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $724.44	Professional		$208.93	$275.42	$724.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $588.84 / $891.25	Facility		$263.03	$588.84	$891.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $489.78	Professional		$190.55	$263.03	$489.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $389.05	Professional		$169.82	$234.42	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $218.78 / $1,548.82	Facility		$204.17	$218.78	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $389.05	Professional		$177.83	$263.03	$389.05