Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $245.47 / $446.68	Facility		$79.43	$245.47	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $489.78	Professional		$190.55	$234.42	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $288.40 / $512.86	Facility		$194.98	$288.40	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $194.98	Professional		$181.97	$194.98	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $346.74	Professional		$257.04	$331.13	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $1,023.29	Professional		$162.18	$316.23	$1,023.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $245.47 / $549.54	Facility		$125.89	$245.47	$549.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $524.81	Professional		$208.93	$338.84	$524.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $562.34	Professional		$131.83	$199.53	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $257.04 / $309.03	Facility		$229.09	$257.04	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $354.81	Professional		$107.15	$208.93	$354.81