Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $169.82 / $323.59	Facility		$123.03	$169.82	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $213.80	Professional		$95.50	$114.82	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $120.23	Professional		$70.79	$85.11	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $158.49 / $281.84	Facility		$107.15	$158.49	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $213.80 / $354.81	Facility		$141.25	$213.80	$354.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $190.55	Professional		$151.36	$186.21	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $309.03	Professional		$67.61	$87.10	$309.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $134.90 / $338.84	Facility		$123.03	$134.90	$338.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $208.93	Professional		$102.33	$138.04	$208.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $199.53	Professional		$64.57	$70.79	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $141.25 / $169.82	Facility		$128.82	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $141.25	Professional		$60.26	$85.11	$141.25