Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $52.48 / $154.88	Facility		$33.11	$52.48	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $63.10 / $147.91	Professional		$28.18	$63.10	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $14.79	Professional		$7.08	$7.08	$14.79
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 $26.30 / $26.30 / $26.30	Professional		$26.30	$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 / $42.66 / $138.04	Professional		$21.88	$42.66	$138.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $52.48 / $154.88	Facility		$33.11	$52.48	$154.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $112.20	Professional		$28.84	$46.77	$112.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $75.86	Professional		$21.88	$27.54	$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