Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.12 / $100.00	Facility		$15.85	$25.12	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $38.02	Professional		$12.88	$15.85	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.05 / $34.67	Facility		$12.88	$19.05	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.88 / $12.88	Professional		$12.30	$12.88	$12.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $42.66	Facility		$18.20	$18.20	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $19.95 / $24.55	Professional		$8.51	$19.95	$24.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.70 / $144.54	Facility		$15.85	$25.70	$144.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $23.44	Professional		$14.13	$17.38	$23.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $20.89	Professional		$7.76	$9.77	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $17.38 / $17.38	Facility		$8.71	$17.38	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $10.96	Professional		$7.24	$10.47	$10.96