Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $194.98 / $229.09	Facility		$144.54	$194.98	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $524.81	Professional		$144.54	$199.53	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $346.74	Professional		$169.82	$204.17	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $295.12	Professional		$269.15	$269.15	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $223.87 / $309.03	Facility		$169.82	$223.87	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $467.74	Professional		$194.98	$251.19	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $407.38	Professional		$169.82	$223.87	$407.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $213.80 / $245.47	Facility		$165.96	$213.80	$245.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $363.08	Professional		$147.91	$204.17	$363.08
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $346.74	Professional		$162.18	$223.87	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $181.97 / $229.09	Facility		$104.71	$181.97	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $323.59	Professional		$173.78	$223.87	$323.59