Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $316.23 / $562.34	Facility		$177.83	$316.23	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $229.09	Professional		$173.78	$173.78	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $380.19 / $758.58	Facility		$199.53	$380.19	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $186.21	Professional		$169.82	$177.83	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $208.93 / $257.04	Facility		$173.78	$208.93	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $398.11	Professional		$173.78	$173.78	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $186.21	Professional		$173.78	$173.78	$186.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $257.04 / $562.34	Facility		$173.78	$257.04	$562.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $234.42	Professional		$173.78	$173.78	$234.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $186.21	Professional		$173.78	$173.78	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $173.78 / $173.78	Facility		$165.96	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $213.80	Professional		$165.96	$186.21	$213.80