Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $1,584.89 / $6,025.60	Facility		$30.20	$1,584.89	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $3,630.78	Professional		$28.84	$44.67	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $47.86 / $117.49	Facility		$30.20	$47.86	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $28.84 / $28.84	Professional		$27.54	$28.84	$28.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $1,412.54 / $5,248.07	Facility		$30.20	$1,412.54	$5,248.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $1,584.89	Professional		$28.84	$31.62	$1,584.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $29.51 / $29.51	Facility		$27.54	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $38.02	Professional		$29.51	$33.11	$38.02