Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $54.95 / $151.36	Facility		$33.11	$54.95	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $74.13	Professional		$22.39	$28.18	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $17.38	Professional		$7.08	$7.08	$17.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.90 / $69.18	Facility		$26.30	$38.90	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.30 / $26.30	Professional		$25.12	$26.30	$26.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $52.48 / $97.72	Facility		$35.48	$52.48	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $47.86	Professional		$37.15	$45.71	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $75.86	Professional		$21.88	$28.84	$75.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $52.48 / $177.83	Facility		$33.11	$52.48	$177.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $72.44	Professional		$25.12	$41.69	$72.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $75.86	Professional		$17.78	$26.92	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $35.48 / $41.69	Facility		$31.62	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $28.84 / $45.71	Professional		$14.79	$28.84	$45.71