Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $1,513.56	Professional		$309.03	$489.78	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $363.08 / $478.63	Professional		$323.59	$363.08	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $602.56	Professional		$562.34	$602.56	$602.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $501.19 / $741.31	Facility		$363.08	$501.19	$741.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $870.96	Professional		$363.08	$478.63	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $1,023.29	Professional		$323.59	$457.09	$1,023.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $398.11 / $1,047.13	Facility		$346.74	$398.11	$1,047.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $1,047.13	Professional		$309.03	$426.58	$1,047.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $851.14	Professional		$309.03	$426.58	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $346.74	Facility		$323.59	$323.59	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $616.60	Professional		$363.08	$446.68	$616.60