Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $112.20	Facility		$100.00	$100.00	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $257.04	Professional		$79.43	$100.00	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $109.65	Professional		$64.57	$79.43	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $120.23 / $134.90	Facility		$107.15	$120.23	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $147.91	Professional		$114.82	$134.90	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $87.10 / $114.82	Facility		$64.57	$87.10	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $229.09	Professional		$95.50	$120.23	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $218.78	Professional		$67.61	$79.43	$218.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $100.00 / $112.20	Facility		$97.72	$100.00	$112.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $208.93	Professional		$81.28	$100.00	$208.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $181.97	Professional		$67.61	$75.86	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $123.03 / $281.84	Facility		$70.79	$123.03	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $138.04	Professional		$77.62	$100.00	$138.04