Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $60.26 / $154.88	Facility		$28.18	$60.26	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $79.43	Professional		$20.89	$26.92	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.49 / $37.15	Professional		$13.18	$15.49	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.11 / $58.88	Facility		$22.39	$33.11	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.39 / $22.39	Professional		$20.89	$22.39	$22.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $83.18	Facility		$30.90	$30.90	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $42.66	Professional		$20.89	$34.67	$42.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $72.44 / $208.93	Facility		$28.18	$72.44	$208.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $64.57	Professional		$22.91	$33.88	$64.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $36.31	Professional		$19.05	$23.44	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $29.51 / $29.51	Facility		$14.79	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $23.99 / $25.70	Professional		$12.30	$23.99	$25.70