Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $100.00 / $389.05	Facility		$15.49	$100.00	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $17.78 / $91.20	Professional		$10.00	$17.78	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.59 / $19.95	Professional		$10.47	$12.59	$19.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $58.88 / $107.15	Facility		$23.44	$58.88	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $20.89	Professional		$14.13	$19.50	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $12.88 / $16.60	Facility		$8.71	$12.88	$16.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.75 / $24.55	Professional		$10.23	$11.75	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.88 / $36.31	Professional		$9.77	$12.88	$36.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $100.00 / $436.52	Facility		$15.49	$100.00	$436.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.80 / $60.26	Professional		$10.23	$13.80	$60.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.59 / $28.84	Professional		$9.77	$12.59	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $16.98	Professional		$9.77	$12.02	$16.98