Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $107.15 / $107.15	Facility		$81.28	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $316.23	Professional		$81.28	$125.89	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $190.55	Professional		$93.33	$144.54	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $154.88	Professional		$141.25	$147.91	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.23 / $169.82	Facility		$95.50	$120.23	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $223.87	Professional		$95.50	$128.82	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $208.93	Professional		$89.13	$123.03	$208.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $107.15 / $323.59	Facility		$91.20	$107.15	$323.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $245.47	Professional		$83.18	$123.03	$245.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $234.42	Professional		$83.18	$117.49	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $104.71	Facility		$75.86	$75.86	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $165.96	Professional		$102.33	$125.89	$165.96