Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $75.86	Professional		$38.90	$57.54	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $87.10 / $93.33	Professional		$7.08	$87.10	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $60.26 / $81.28	Facility		$6.03	$60.26	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Facility		$60.26	$60.26	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $109.65	Professional		$60.26	$63.10	$109.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $75.86 / $128.82	Professional		$9.33	$75.86	$128.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Facility		$60.26	$60.26	$81.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $81.28	Professional		$60.26	$63.10	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $41.69 / $69.18	Facility		$4.79	$41.69	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $87.10	Professional		$38.02	$66.07	$87.10