Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $67.61 / $79.43	Facility		$58.88	$67.61	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $83.18	Professional		$47.86	$64.57	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $77.62 / $77.62 / $77.62	Professional	25	$77.62	$77.62	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $131.83	Professional		$109.65	$117.49	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $114.82	Facility		$79.43	$79.43	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $162.18	Professional		$89.13	$89.13	$162.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $93.33	Professional		$56.23	$67.61	$93.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $131.83	Professional		$89.13	$89.13	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $97.72	Professional		$70.79	$85.11	$97.72