Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $30.20	Facility		$25.70	$25.70	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $93.33	Professional		$20.89	$28.18	$93.33
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $27.54 / $57.54 / $138.04	Professional	25	$27.54	$57.54	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $51.29	Professional		$22.91	$30.90	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $48.98 / $53.70	Facility		$42.66	$48.98	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $50.12	Professional		$46.77	$46.77	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $31.62 / $43.65	Facility		$23.99	$31.62	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $66.07	Professional		$27.54	$34.67	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $79.43	Professional		$25.70	$35.48	$79.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.90 / $81.28	Facility		$25.70	$30.90	$81.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $53.70	Professional		$20.89	$28.84	$53.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $70.79	Professional		$23.99	$33.11	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $27.54 / $33.88	Facility		$24.55	$27.54	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $45.71	Professional		$24.55	$31.62	$45.71