Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $57.54	Professional		$28.18	$39.81	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $53.70	Professional		$39.81	$39.81	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $199.53 / $380.19	Facility		$83.18	$199.53	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $69.18	Professional		$66.07	$66.07	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $48.98	Facility		$39.81	$39.81	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $77.62	Professional		$33.88	$39.81	$77.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $125.89 / $141.25	Facility		$50.12	$125.89	$141.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $81.28	Professional		$37.15	$52.48	$81.28
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $48.98	Facility		$39.81	$39.81	$48.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $48.98	Professional		$33.88	$39.81	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $30.90 / $43.65	Facility		$19.05	$30.90	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $46.77	Professional		$21.88	$30.90	$46.77