Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $144.54 / $158.49	Facility		$102.33	$144.54	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $346.74	Professional		$91.20	$151.36	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $186.21	Professional		$97.72	$131.83	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $147.91 / $602.56	Facility		$74.13	$147.91	$602.56
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 $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 $91.20 / $134.90 / $288.40	Professional		$91.20	$134.90	$288.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $144.54 / $158.49	Facility		$107.15	$144.54	$158.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $269.15	Professional		$89.13	$138.04	$269.15
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 $87.10 / $125.89 / $257.04	Professional		$87.10	$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 $93.33 / $125.89 / $186.21	Professional		$93.33	$125.89	$186.21