Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $77.62	Professional		$44.67	$56.23	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $316.23 / $602.56	Facility		$134.90	$316.23	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $109.65	Professional		$100.00	$104.71	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $123.03	Professional		$53.70	$72.44	$123.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $199.53 / $223.87	Facility		$60.26	$199.53	$223.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $128.82	Professional		$53.70	$85.11	$128.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $75.86	Professional		$53.70	$72.44	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $85.11 / $131.83	Facility		$33.11	$85.11	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $75.86	Professional		$38.02	$48.98	$75.86