Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $120.23 / $213.80	Facility		$75.86	$120.23	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $223.87	Professional		$57.54	$83.18	$223.87
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $89.13 / $89.13 / $89.13	Professional	CQ	$89.13	$89.13	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $85.11	Professional		$83.18	$83.18	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $134.90 / $169.82	Facility		$93.33	$134.90	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $87.10	Professional		$83.18	$87.10	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $131.83	Facility		$77.62	$77.62	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $112.20	Professional		$97.72	$97.72	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $64.57	Facility		$53.70	$53.70	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $229.09	Professional		$58.88	$91.20	$229.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $91.20 / $213.80	Facility		$75.86	$91.20	$213.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $173.78	Professional		$60.26	$81.28	$173.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $125.89	Professional		$57.54	$87.10	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $97.72 / $107.15	Facility		$72.44	$97.72	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $102.33	Professional		$69.18	$77.62	$102.33