Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $102.33 / $151.36	Facility		$67.61	$102.33	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $346.74	Professional		$87.10	$151.36	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $158.49	Professional		$95.50	$120.23	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $134.90 / $134.90	Facility		$131.83	$134.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $151.36	Professional		$125.89	$144.54	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $114.82 / $158.49	Facility		$89.13	$114.82	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $275.42	Professional		$114.82	$147.91	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $269.15	Professional		$83.18	$123.03	$269.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $120.23 / $151.36	Facility		$77.62	$120.23	$151.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $281.84	Professional		$85.11	$128.82	$281.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $239.88	Professional		$81.28	$117.49	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $102.33 / $112.20	Facility		$89.13	$102.33	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $173.78	Professional		$87.10	$117.49	$173.78