Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $70.79 / $123.03	Facility		$66.07	$70.79	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $154.88	Professional		$52.48	$63.10	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $70.79	Professional		$35.48	$35.48	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $52.48 / $58.88	Facility		$10.96	$52.48	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $52.48	Professional		$50.12	$52.48	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $104.71 / $194.98	Facility		$70.79	$104.71	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $95.50	Professional		$74.13	$91.20	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $85.11 / $275.42	Professional		$43.65	$85.11	$275.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $69.18 / $125.89	Facility		$66.07	$69.18	$125.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $144.54	Professional		$56.23	$83.18	$144.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $151.36	Professional		$35.48	$53.70	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $70.79 / $85.11	Facility		$63.10	$70.79	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $57.54 / $91.20	Professional		$29.51	$57.54	$91.20