Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $128.82 / $169.82	Facility		$102.33	$128.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $316.23	Professional		$89.13	$138.04	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $199.53	Professional		$104.71	$125.89	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $154.88	Professional		$134.90	$154.88	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $120.23 / $165.96	Facility		$93.33	$120.23	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $295.12	Professional		$123.03	$158.49	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $288.40	Professional		$89.13	$131.83	$288.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $138.04 / $158.49	Facility		$102.33	$138.04	$158.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $245.47	Professional		$87.10	$134.90	$245.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $257.04	Professional		$83.18	$125.89	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $109.65 / $123.03	Facility		$100.00	$109.65	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $181.97	Professional		$91.20	$125.89	$181.97