Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $75.86 / $630.96	Facility		$10.47	$75.86	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.12 / $47.86	Professional		$7.76	$9.12	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.50 / $10.47	Professional		$4.79	$5.50	$10.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.39 / $39.81	Facility		$15.14	$22.39	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.14 / $15.14	Professional		$14.45	$15.14	$15.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $29.51	Facility		$10.96	$10.96	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $12.30 / $15.49	Professional		$7.41	$12.30	$15.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $81.28 / $457.09	Facility		$10.47	$81.28	$457.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.59 / $51.29	Professional		$7.94	$12.59	$51.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.32 / $12.88	Professional		$6.76	$8.32	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $10.47 / $10.47	Facility		$5.25	$10.47	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $8.51 / $9.12	Professional		$4.47	$8.51	$9.12