Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $83.18 / $83.18	Facility		$61.66	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $107.15	Professional		$56.23	$79.43	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $79.43	Professional		$64.57	$74.13	$79.43
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $75.86 / $79.43	Professional	25	$64.57	$75.86	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $134.90	Facility		$85.11	$117.49	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $134.90	Professional		$120.23	$128.82	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $218.78	Professional		$75.86	$131.83	$218.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $83.18 / $263.03	Facility		$70.79	$83.18	$263.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $120.23	Professional		$64.57	$89.13	$120.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $218.78	Professional		$75.86	$144.54	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $97.72	Facility		$60.26	$60.26	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $134.90	Professional		$75.86	$97.72	$134.90