Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $436.52	Professional		$93.33	$123.03	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $204.17	Professional		$79.43	$93.33	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $141.25 / $151.36	Professional		$134.90	$141.25	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $194.98	Professional		$87.10	$109.65	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $257.04	Professional		$93.33	$131.83	$257.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $190.55	Professional		$95.50	$123.03	$190.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $245.47	Professional		$87.10	$123.03	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $165.96	Professional		$95.50	$117.49	$165.96