Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $354.81 / $354.81	Facility		$21.88	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $25.12	Professional		$12.02	$18.20	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $79.43 / $158.49	Facility		$29.51	$79.43	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $30.90	Professional		$29.51	$29.51	$30.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $45.71 / $63.10	Facility		$29.51	$45.71	$63.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $67.61	Professional		$33.88	$40.74	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $43.65	Professional		$15.14	$15.14	$43.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $24.55 / $63.10	Facility		$21.38	$24.55	$63.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $36.31	Professional		$15.85	$23.44	$36.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $36.31	Professional		$15.14	$15.14	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.80 / $20.89	Professional		$9.77	$13.80	$20.89