Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $72.44 / $151.36	Professional		$38.90	$72.44	$151.36
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $87.10 / $107.15 / $457.09	Professional	25	$87.10	$107.15	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $97.72	Professional		$70.79	$81.28	$97.72
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $104.71 / $104.71 / $104.71	Professional	25	$104.71	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $52.48 / $97.72	Professional		$48.98	$52.48	$97.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $54.95 / $60.26	Facility		$41.69	$54.95	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $83.18	Professional		$74.13	$75.86	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $194.98	Professional		$37.15	$63.10	$194.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $72.44 / $112.20	Professional		$38.90	$72.44	$112.20
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $75.86 / $107.15 / $295.12	Professional	25	$75.86	$107.15	$295.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $138.04	Professional		$37.15	$63.10	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $97.72	Professional		$44.67	$66.07	$97.72