Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $204.17 / $501.19	Facility		$70.79	$204.17	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $457.09	Professional		$81.28	$102.33	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $112.20	Professional		$77.62	$112.20	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $194.98 / $331.13	Facility		$125.89	$194.98	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $234.42	Professional		$134.90	$134.90	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $223.87 / $457.09	Facility		$81.28	$223.87	$457.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $223.87	Professional		$81.28	$123.03	$223.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $112.20 / $263.03	Facility		$85.11	$112.20	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $91.20	Professional		$85.11	$85.11	$91.20