Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $40.74 / $57.54	Facility		$30.90	$40.74	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $213.80	Professional		$32.36	$53.70	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $104.71	Professional		$39.81	$53.70	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $74.13	Professional		$47.86	$52.48	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.90 / $66.07	Facility		$28.18	$38.90	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $125.89	Professional		$52.48	$66.07	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $190.55	Professional		$43.65	$81.28	$190.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $42.66 / $63.10	Facility		$30.90	$42.66	$63.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $104.71	Professional		$30.90	$51.29	$104.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $234.42	Professional		$41.69	$74.13	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $81.28	Professional		$41.69	$58.88	$81.28