Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $269.15	Professional		$117.49	$151.36	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $109.65	Professional		$85.11	$102.33	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $186.21	Professional		$165.96	$173.78	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $162.18	Professional		$112.20	$141.25	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $316.23	Professional		$117.49	$169.82	$316.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $204.17	Professional		$123.03	$151.36	$204.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $302.00	Professional		$109.65	$151.36	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $213.80	Professional		$123.03	$147.91	$213.80