Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $79.43 / $229.09	Facility		$20.89	$79.43	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $22.91	Professional		$12.02	$12.88	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $11.75	Professional		$9.33	$9.33	$11.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $53.70 / $93.33	Facility		$34.67	$53.70	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $34.67 / $34.67	Professional		$33.11	$34.67	$34.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $128.82	Professional		$74.13	$74.13	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $74.13 / $213.80	Facility		$12.88	$74.13	$213.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $112.20	Professional		$12.02	$15.14	$112.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $93.33 / $97.72	Facility		$12.88	$93.33	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $14.13	Professional		$12.88	$12.88	$14.13