Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $109.65 / $467.74	Facility		$31.62	$109.65	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $61.66 / $87.10	Professional		$25.12	$61.66	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $47.86	Professional		$38.02	$38.02	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $31.62 / $41.69	Facility		$24.55	$31.62	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $173.78	Professional		$75.86	$95.50	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $75.86 / $154.88	Professional		$28.18	$75.86	$154.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $89.13 / $204.17	Facility		$31.62	$89.13	$204.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $70.79 / $102.33	Professional		$25.12	$70.79	$102.33
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $69.18 / $134.90	Professional		$26.92	$69.18	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $69.18 / $165.96	Facility		$60.26	$69.18	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $64.57 / $107.15	Professional		$26.92	$64.57	$107.15