Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $114.82 / $724.44	Facility		$89.13	$114.82	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $309.03	Professional		$70.79	$89.13	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $100.00	Professional		$63.10	$83.18	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $72.44 / $123.03	Facility		$34.67	$72.44	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $128.82	Professional		$95.50	$120.23	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $91.20 / $128.82	Facility		$58.88	$91.20	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $169.82	Professional		$67.61	$79.43	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $223.87	Professional		$74.13	$85.11	$223.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $199.53 / $724.44	Facility		$89.13	$199.53	$724.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $245.47	Professional		$72.44	$89.13	$245.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $190.55	Professional		$74.13	$83.18	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $125.89	Professional		$72.44	$87.10	$125.89