Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $776.25	Professional		$446.68	$562.34	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $2,884.03	Facility		$588.84	$588.84	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $794.33	Professional		$588.84	$794.33	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $562.34	Facility		$53.70	$53.70	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $724.44	Facility		$616.60	$616.60	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $616.60 / $812.83	Professional		$66.07	$616.60	$812.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $776.25	Professional		$389.05	$575.44	$776.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $691.83	Facility		$616.60	$616.60	$691.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $616.60 / $724.44	Professional		$66.07	$616.60	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $309.03 / $537.03	Facility		$50.12	$309.03	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $602.56	Professional		$295.12	$407.38	$602.56