Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $162.18 / $489.78	Facility		$18.62	$162.18	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $22.39 / $128.82	Professional		$10.96	$22.39	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $48.98	Professional		$10.96	$13.49	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $213.80 / $380.19	Facility		$83.18	$213.80	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $87.10	Professional		$15.49	$20.89	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $14.79 / $20.89	Facility		$9.55	$14.79	$20.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $104.71	Professional		$43.65	$50.12	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $46.77 / $85.11	Professional		$12.30	$46.77	$85.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $162.18 / $575.44	Facility		$48.98	$162.18	$575.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $37.15 / $95.50	Professional		$11.48	$37.15	$95.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $46.77 / $77.62	Professional		$12.30	$46.77	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $43.65 / $64.57	Professional		$12.30	$43.65	$64.57