Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $102.33 / $977.24	Facility		$7.76	$102.33	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $186.21	Professional		$70.79	$87.10	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $134.90	Professional		$109.65	$128.82	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $512.86 / $977.24	Facility		$218.78	$512.86	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $141.25	Facility		$114.82	$114.82	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $199.53	Professional		$85.11	$114.82	$199.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $141.25 / $512.86	Facility		$10.47	$141.25	$512.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $208.93	Professional		$83.18	$134.90	$208.93
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $141.25	Facility		$114.82	$114.82	$141.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $141.25	Professional		$85.11	$114.82	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $138.04 / $194.98	Facility		$47.86	$138.04	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $114.82	Professional		$56.23	$79.43	$114.82