Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $154.88 / $457.09	Facility		$141.25	$154.88	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $295.12	Professional		$109.65	$147.91	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $275.42	Professional		$173.78	$251.19	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $831.76 / $1,584.89	Facility		$346.74	$831.76	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $288.40	Professional		$263.03	$275.42	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $323.59	Professional		$97.72	$134.90	$323.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $288.40 / $575.44	Facility		$141.25	$288.40	$575.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $338.84	Professional		$131.83	$208.93	$338.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $144.54	Professional		$97.72	$134.90	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $218.78 / $331.13	Facility		$83.18	$218.78	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $194.98	Professional		$95.50	$128.82	$194.98