Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $177.83 / $177.83	Facility		$67.61	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $154.88	Professional		$54.95	$66.07	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $128.82	Professional		$44.67	$64.57	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $81.28 / $91.20	Facility		$72.44	$81.28	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $112.20	Professional		$85.11	$97.72	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $60.26 / $79.43	Facility		$43.65	$60.26	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $158.49	Professional		$66.07	$81.28	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $147.91	Professional		$45.71	$54.95	$147.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $67.61 / $177.83	Facility		$66.07	$67.61	$177.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $123.03	Professional		$56.23	$67.61	$123.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $125.89	Professional		$45.71	$52.48	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $181.97 / $501.19	Facility		$48.98	$181.97	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $93.33	Professional		$52.48	$67.61	$93.33