Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $77.62 / $77.62	Facility		$64.57	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $199.53	Professional		$57.54	$109.65	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $141.25	Professional		$70.79	$91.20	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $109.65	Professional		$100.00	$104.71	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $120.23	Facility		$67.61	$85.11	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $158.49	Professional		$67.61	$91.20	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $141.25	Professional		$63.10	$79.43	$141.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $77.62 / $213.80	Facility		$64.57	$77.62	$213.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $190.55	Professional		$57.54	$93.33	$190.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $158.49	Professional		$56.23	$77.62	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $104.71	Facility		$53.70	$53.70	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $112.20	Professional		$69.18	$83.18	$112.20