Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $32.36	Professional		$16.60	$25.12	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $50.12	Professional		$32.36	$38.02	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $131.83	Facility		$36.31	$36.31	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $34.67 / $36.31	Professional		$2.82	$34.67	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $24.55 / $37.15	Facility		$2.40	$24.55	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $37.15	Facility		$24.55	$24.55	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.12 / $41.69	Professional		$24.55	$25.12	$41.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $33.11 / $61.66	Professional		$3.98	$33.11	$61.66
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $32.36	Facility		$24.55	$24.55	$32.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.12 / $37.15	Professional		$24.55	$25.12	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $16.60 / $28.84	Facility		$2.00	$16.60	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $27.54 / $36.31	Professional		$16.60	$27.54	$36.31