Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $48.98 / $316.23	Facility		$15.14	$48.98	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.05 / $54.95	Professional		$8.91	$19.05	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $14.45	Professional		$8.91	$10.72	$14.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $20.89	Facility		$17.38	$17.38	$20.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $18.20	Professional		$14.79	$17.38	$18.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $10.23 / $14.79	Facility		$7.76	$10.23	$14.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $23.44	Professional		$10.00	$11.75	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $17.78 / $35.48	Professional		$8.71	$17.78	$35.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $41.69 / $316.23	Facility		$9.77	$41.69	$316.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.18 / $44.67	Professional		$8.91	$13.18	$44.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.49 / $38.02	Professional		$9.12	$15.49	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $19.95	Professional		$7.76	$10.96	$19.95