Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $223.87 / $457.09	Facility		$128.82	$223.87	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $323.59	Professional		$109.65	$141.25	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $141.25 / $190.55	Professional		$38.02	$141.25	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $158.49 / $281.84	Facility		$107.15	$158.49	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $107.15 / $107.15	Professional		$102.33	$107.15	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $213.80 / $354.81	Facility		$141.25	$213.80	$354.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $190.55	Professional		$151.36	$186.21	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $309.03	Professional		$72.44	$134.90	$309.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $239.88 / $501.19	Facility		$141.25	$239.88	$501.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $346.74	Professional		$141.25	$151.36	$346.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $141.25	Professional		$69.18	$77.62	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $141.25 / $169.82	Facility		$128.82	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $165.96	Professional		$85.11	$144.54	$165.96