Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $112.20 / $131.83	Facility		$97.72	$112.20	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $154.88	Professional		$81.28	$107.15	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $125.89	Professional		$89.13	$107.15	$125.89
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $95.50 / $95.50 / $125.89	Professional	25	$95.50	$95.50	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $190.55 / $218.78	Professional		$177.83	$190.55	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $128.82 / $177.83	Facility		$117.49	$128.82	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $263.03	Professional		$117.49	$117.49	$263.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $158.49	Professional		$91.20	$117.49	$158.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $208.93	Professional		$117.49	$117.49	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $151.36	Professional		$112.20	$131.83	$151.36