Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $758.58	Professional		$398.11	$588.84	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,344.23 / $4,466.84	Facility		$977.24	$2,344.23	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $776.25 / $776.25	Professional		$60.26	$776.25	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $524.81 / $691.83	Facility		$48.98	$524.81	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $741.31	Facility		$575.44	$575.44	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $575.44 / $741.31	Professional		$60.26	$575.44	$741.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,023.29 / $1,122.02	Facility		$416.87	$1,023.29	$1,122.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $512.86 / $912.01	Professional		$79.43	$512.86	$912.01
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $676.08	Facility		$575.44	$575.44	$676.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $575.44 / $741.31	Professional		$60.26	$575.44	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $75.86 / $645.65	Facility		$52.48	$75.86	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $588.84	Professional		$46.77	$79.43	$588.84