Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $81.28 / $91.20	Facility		$51.29	$81.28	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $67.61	Professional		$30.90	$46.77	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $69.18	Professional		$47.86	$58.88	$69.18
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $41.69 / $58.88 / $64.57	Professional	25	$41.69	$58.88	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $77.62	Professional		$70.79	$74.13	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $46.77	Facility		$34.67	$34.67	$46.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $57.54	Professional		$56.23	$56.23	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $117.49	Professional		$32.36	$50.12	$117.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $81.28 / $117.49	Facility		$42.66	$81.28	$117.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $74.13	Professional		$32.36	$48.98	$74.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $114.82	Professional		$33.11	$51.29	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $204.17 / $323.59	Facility		$131.83	$204.17	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $58.88	Professional		$33.11	$43.65	$58.88