Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $24.55 / $77.62	Facility		$15.14	$24.55	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $45.71	Professional		$12.59	$15.14	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $13.49	Professional		$10.23	$10.23	$13.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.05 / $33.88	Facility		$12.88	$19.05	$33.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $12.88	Professional		$12.02	$12.88	$12.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $47.86	Facility		$17.78	$17.78	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.95 / $24.55	Professional		$12.02	$19.95	$24.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $25.12 / $91.20	Facility		$15.49	$25.12	$91.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $29.51	Professional		$12.88	$17.78	$29.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $20.42	Professional		$10.72	$13.49	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $16.98 / $16.98	Facility		$8.51	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $14.13	Professional		$7.08	$10.96	$14.13