Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $66.07 / $147.91	Facility		$51.29	$66.07	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $102.33	Professional		$51.29	$56.23	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $66.07	Professional		$25.70	$43.65	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $102.33 / $186.21	Facility		$70.79	$102.33	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $77.62 / $125.89	Facility		$51.29	$77.62	$125.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $69.18	Professional		$53.70	$66.07	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $48.98 / $112.20	Professional		$25.70	$48.98	$112.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $66.07 / $162.18	Facility		$51.29	$66.07	$162.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $53.70 / $97.72	Professional		$51.29	$53.70	$97.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.18 / $51.29	Professional		$24.55	$28.18	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $51.29 / $61.66	Facility		$45.71	$51.29	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $53.70	Professional		$30.90	$51.29	$53.70