Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Facility		$30.90	$30.90	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $100.00	Professional		$25.12	$38.02	$100.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.69 / $41.69 / $144.54	Professional	25	$41.69	$41.69	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $57.54	Professional		$30.90	$38.90	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $44.67 / $44.67	Facility		$41.69	$44.67	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $47.86 / $63.10	Professional		$44.67	$47.86	$63.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $37.15 / $51.29	Facility		$28.18	$37.15	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $87.10	Professional		$36.31	$46.77	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $83.18	Professional		$28.84	$41.69	$83.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $41.69 / $109.65	Facility		$30.90	$41.69	$109.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $70.79	Professional		$25.12	$37.15	$70.79
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $41.69 / $41.69 / $41.69	Professional	25	$41.69	$41.69	$41.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $75.86	Professional		$26.92	$39.81	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $37.15 / $45.71	Facility		$33.88	$37.15	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $58.88	Professional		$30.20	$40.74	$58.88