Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $77.62 / $128.82	Facility		$57.54	$77.62	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $128.82	Professional		$52.48	$61.66	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $125.89	Professional		$26.92	$45.71	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $134.90	Facility		$50.12	$75.86	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $50.12	Professional		$47.86	$50.12	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $186.21	Facility		$70.79	$70.79	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $95.50	Professional		$47.86	$77.62	$95.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $79.43 / $158.49	Facility		$60.26	$79.43	$158.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $120.23	Professional		$54.95	$77.62	$120.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $81.28	Professional		$42.66	$53.70	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $67.61 / $67.61	Facility		$33.88	$67.61	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $54.95 / $58.88	Professional		$28.18	$54.95	$58.88