Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $436.52	Professional		$234.42	$338.84	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,995.26	Facility		$407.38	$407.38	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $549.54	Professional		$407.38	$524.81	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $323.59 / $426.58	Facility		$34.67	$323.59	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Facility		$354.81	$354.81	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $645.65	Professional		$354.81	$354.81	$645.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $436.52 / $676.08	Professional		$54.95	$436.52	$676.08
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Facility		$354.81	$354.81	$467.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Professional		$354.81	$354.81	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $190.55 / $354.81	Facility		$24.55	$190.55	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $467.74	Professional		$194.98	$302.00	$467.74