Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $29.51 / $95.50	Facility		$16.98	$29.51	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.98 / $51.29	Professional		$13.80	$16.98	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $18.62	Professional		$7.41	$9.33	$18.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.89 / $37.15	Facility		$13.80	$20.89	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.80 / $13.80	Professional		$13.18	$13.80	$13.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $51.29	Facility		$19.50	$19.50	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $20.89 / $63.10	Professional		$13.18	$20.89	$63.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $29.51 / $123.03	Facility		$17.38	$29.51	$123.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $38.90	Professional		$15.14	$21.38	$38.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $63.10	Professional		$11.75	$14.79	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $18.62 / $22.39	Facility		$11.22	$18.62	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.14 / $16.22	Professional		$7.76	$15.14	$16.22