Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $74.13 / $125.89	Facility		$40.74	$74.13	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $281.84	Professional		$61.66	$102.33	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $141.25	Professional		$75.86	$95.50	$141.25
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 $138.04 / $154.88 / $154.88	Professional		$138.04	$154.88	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $83.18 / $112.20	Facility		$63.10	$83.18	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $213.80	Professional		$89.13	$114.82	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $208.93	Professional		$60.26	$95.50	$208.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $95.50 / $125.89	Facility		$70.79	$95.50	$125.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $218.78	Professional		$60.26	$97.72	$218.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $177.83	Professional		$57.54	$89.13	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $81.28 / $81.28	Facility		$66.07	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $131.83	Professional		$61.66	$87.10	$131.83