Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $131.83 / $2,818.38	Facility		$46.77	$131.83	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $2,511.89	Professional		$44.67	$46.77	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $45.71	Professional		$44.67	$44.67	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $74.13 / $181.97	Facility		$46.77	$74.13	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $46.77	Professional		$43.65	$46.77	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $131.83 / $2,754.23	Facility		$46.77	$131.83	$2,754.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $47.86 / $144.54	Professional		$44.67	$47.86	$144.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $44.67 / $45.71	Facility		$39.81	$44.67	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $47.86	Professional		$45.71	$45.71	$47.86