Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $275.42	Professional		$60.26	$100.00	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $112.20	Professional		$57.54	$69.18	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $91.20 / $165.96	Facility		$43.65	$91.20	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $114.82	Professional		$107.15	$107.15	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $87.10 / $123.03	Facility		$67.61	$87.10	$123.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $162.18	Professional		$67.61	$93.33	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $141.25	Professional		$63.10	$79.43	$141.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $186.21 / $208.93	Facility		$75.86	$186.21	$208.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $186.21	Professional		$63.10	$87.10	$186.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $165.96	Professional		$56.23	$75.86	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $107.15	Professional		$69.18	$83.18	$107.15