Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $123.03 / $162.18	Facility		$107.15	$123.03	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $204.17	Professional		$104.71	$131.83	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $134.90	Professional		$89.13	$112.20	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $165.96 / $204.17	Facility		$141.25	$165.96	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $194.98	Professional		$134.90	$162.18	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $131.83 / $218.78	Facility		$95.50	$131.83	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $346.74	Professional		$144.54	$177.83	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $251.19	Professional		$100.00	$162.18	$251.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $128.82 / $162.18	Facility		$107.15	$128.82	$162.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $194.98	Professional		$104.71	$131.83	$194.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $245.47	Professional		$100.00	$147.91	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $181.97 / $501.19	Facility		$107.15	$181.97	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $213.80	Professional		$107.15	$147.91	$213.80