Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $123.03 / $154.88	Facility		$91.20	$123.03	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $331.13	Professional		$81.28	$120.23	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $169.82	Professional		$95.50	$114.82	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $128.82 / $147.91	Facility		$107.15	$128.82	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $147.91	Professional		$125.89	$138.04	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $144.54 / $199.53	Facility		$112.20	$144.54	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $269.15	Professional		$112.20	$154.88	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $194.98	Professional		$85.11	$112.20	$194.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $123.03 / $269.15	Facility		$91.20	$123.03	$269.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $257.04	Professional		$83.18	$117.49	$257.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $245.47	Professional		$77.62	$112.20	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $162.18	Professional		$91.20	$112.20	$162.18