Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $2,041.74 / $4,897.79	Facility		$30.20	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $40.74 / $123.03	Professional		$20.89	$40.74	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $34.67	Professional		$15.14	$22.91	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $79.43	Facility		$35.48	$35.48	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $35.48 / $38.02	Professional		$3.55	$35.48	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $40.74	Facility		$24.55	$24.55	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $31.62 / $120.23	Professional		$11.48	$31.62	$120.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $891.25 / $4,897.79	Facility		$30.20	$891.25	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $81.28	Professional		$22.91	$38.90	$81.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.84 / $93.33	Professional		$11.48	$28.84	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,041.74	Facility		$467.74	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $26.30 / $69.18	Professional		$11.22	$26.30	$69.18