Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $134.90 / $245.47	Facility		$19.05	$134.90	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $21.88	Professional		$12.02	$12.88	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $87.10 / $165.96	Facility		$37.15	$87.10	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $30.90	Professional		$28.84	$28.84	$30.90
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 $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $35.48	Professional		$16.22	$22.39	$35.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $47.86 / $165.96	Facility		$17.38	$47.86	$165.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $36.31	Professional		$12.59	$18.20	$36.31
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $23.44	Professional		$16.22	$22.39	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $23.44 / $48.98	Facility		$10.47	$23.44	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $20.42	Professional		$11.22	$13.80	$20.42