Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $186.21 / $501.19	Facility		$50.12	$186.21	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $426.58	Professional		$154.88	$204.17	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $251.19	Professional		$186.21	$234.42	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $933.25 / $1,778.28	Facility		$398.11	$933.25	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $331.13	Professional		$309.03	$309.03	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $398.11 / $707.95	Facility		$213.80	$398.11	$707.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $467.74	Professional		$331.13	$436.52	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $194.98	Facility		$186.21	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $363.08	Professional		$141.25	$186.21	$363.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $316.23 / $660.69	Facility		$50.12	$316.23	$660.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $398.11	Professional		$169.82	$251.19	$398.11
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $194.98	Facility		$186.21	$194.98	$194.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $208.93	Professional		$141.25	$194.98	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $251.19 / $426.58	Facility		$104.71	$251.19	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $223.87	Professional		$123.03	$147.91	$223.87