Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $87.10	Professional		$46.77	$66.07	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $380.19	Facility		$104.71	$104.71	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $97.72 / $104.71	Professional		$7.94	$97.72	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $67.61 / $93.33	Facility		$6.76	$67.61	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $93.33	Facility		$66.07	$66.07	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $117.49	Professional		$66.07	$69.18	$117.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $85.11 / $147.91	Professional		$10.47	$85.11	$147.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $89.13	Facility		$66.07	$66.07	$89.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $93.33	Professional		$66.07	$69.18	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $44.67 / $79.43	Facility		$5.50	$44.67	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $100.00	Professional		$43.65	$75.86	$100.00