Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $309.03	Professional		$56.23	$81.28	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $81.28 / $104.71	Professional		$40.74	$81.28	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $177.83	Professional		$123.03	$131.83	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $138.04 / $194.98	Facility		$77.62	$138.04	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $186.21	Professional		$83.18	$100.00	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $107.15 / $346.74	Professional		$43.65	$107.15	$346.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $302.00	Professional		$69.18	$102.33	$302.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $100.00 / $112.20	Professional		$37.15	$100.00	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $128.82	Professional		$53.70	$93.33	$128.82