Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $33.11	Professional		$15.85	$21.88	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $27.54 / $44.67	Professional		$26.92	$27.54	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $134.90 / $257.04	Facility		$57.54	$134.90	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $46.77	Professional		$42.66	$44.67	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $52.48	Professional		$21.88	$30.20	$52.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $85.11 / $95.50	Facility		$25.12	$85.11	$95.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $54.95	Professional		$20.89	$33.88	$54.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $31.62	Professional		$21.88	$30.20	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $36.31 / $48.98	Facility		$12.30	$36.31	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $30.20	Professional		$15.14	$21.38	$30.20