Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $72.44	Professional		$38.02	$57.54	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $91.20 / $91.20	Professional		$6.92	$91.20	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $53.70 / $70.79	Facility		$5.62	$53.70	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $75.86	Facility		$57.54	$57.54	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $102.33	Professional		$57.54	$57.54	$102.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $72.44 / $112.20	Professional		$9.12	$72.44	$112.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $75.86	Facility		$57.54	$57.54	$75.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $75.86	Professional		$57.54	$57.54	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $36.31 / $61.66	Facility		$4.47	$36.31	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $77.62	Professional		$36.31	$57.54	$77.62