Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $147.91 / $234.42	Facility		$44.67	$147.91	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $58.88 / $158.49	Professional		$34.67	$58.88	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $97.72	Professional		$66.07	$75.86	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $208.93 / $398.11	Facility		$87.10	$208.93	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $72.44	Professional		$69.18	$69.18	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $91.20 / $162.18	Facility		$48.98	$91.20	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $107.15	Professional		$75.86	$95.50	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $75.86	Facility		$67.61	$67.61	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $79.43	Professional		$48.98	$67.61	$79.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $151.36 / $234.42	Facility		$44.67	$151.36	$234.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $112.20	Professional		$43.65	$72.44	$112.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $75.86	Facility		$67.61	$67.61	$75.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $75.86	Professional		$48.98	$67.61	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $54.95 / $151.36	Facility		$33.11	$54.95	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $72.44	Professional		$33.11	$47.86	$72.44