Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $478.63	Professional		$95.50	$151.36	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $134.90	Professional		$112.20	$114.82	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $190.55 / $190.55	Professional		$177.83	$190.55	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $154.88 / $234.42	Facility		$114.82	$154.88	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $269.15	Professional		$114.82	$151.36	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $309.03	Professional		$102.33	$144.54	$309.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $123.03 / $323.59	Facility		$107.15	$123.03	$323.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $346.74	Professional		$95.50	$131.83	$346.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $275.42	Professional		$97.72	$134.90	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $112.20	Facility		$100.00	$100.00	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $194.98	Professional		$112.20	$141.25	$194.98