Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $169.82 / $208.93	Facility		$53.70	$169.82	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $131.83	Professional		$30.20	$54.95	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $60.26	Professional		$46.77	$53.70	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $213.80 / $380.19	Facility		$91.20	$213.80	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $74.13	Professional		$70.79	$70.79	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $83.18	Professional		$38.02	$44.67	$83.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $151.36 / $173.78	Facility		$54.95	$151.36	$173.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $100.00	Professional		$38.02	$61.66	$100.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $57.54	Professional		$38.02	$44.67	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $35.48 / $50.12	Facility		$21.38	$35.48	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $50.12	Professional		$24.55	$33.11	$50.12