Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $35.48 / $120.23	Facility		$12.88	$35.48	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $39.81	Professional		$10.00	$12.30	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.13 / $15.49	Professional		$5.75	$8.13	$15.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $15.14 / $26.92	Facility		$10.23	$15.14	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.23 / $10.23	Professional		$9.77	$10.23	$10.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $38.02	Facility		$14.45	$14.45	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.85 / $19.50	Professional		$9.55	$15.85	$19.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $40.74 / $138.04	Facility		$12.88	$40.74	$138.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $31.62	Professional		$10.96	$15.85	$31.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.72 / $16.60	Professional		$8.71	$10.72	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $13.49 / $13.49	Facility		$6.76	$13.49	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $11.22 / $11.75	Professional		$5.75	$11.22	$11.75