Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $58.88	Professional		$34.67	$47.86	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $104.71	Professional		$67.61	$93.33	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $234.42	Facility		$64.57	$64.57	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $60.26 / $64.57	Professional		$4.90	$60.26	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $44.67 / $69.18	Facility		$4.47	$44.67	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $74.13	Facility		$43.65	$43.65	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $44.67 / $104.71	Professional		$43.65	$44.67	$104.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $63.10 / $120.23	Professional		$8.51	$63.10	$120.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $57.54	Facility		$43.65	$43.65	$57.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $44.67 / $104.71	Professional		$43.65	$44.67	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $34.67 / $61.66	Facility		$4.27	$34.67	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $81.28	Professional		$30.90	$58.88	$81.28