Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $50.12 / $138.04	Facility		$45.71	$50.12	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $257.04	Professional		$85.11	$109.65	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $144.54 / $158.49	Professional		$54.95	$144.54	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $575.44 / $1,096.48	Facility		$239.88	$575.44	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $199.53	Professional		$190.55	$190.55	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $123.03	Facility		$107.15	$107.15	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $223.87	Professional		$77.62	$107.15	$223.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $138.04 / $398.11	Facility		$45.71	$138.04	$398.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $251.19	Professional		$97.72	$147.91	$251.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $123.03	Facility		$107.15	$107.15	$123.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $123.03	Professional		$77.62	$107.15	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $151.36 / $234.42	Facility		$57.54	$151.36	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $134.90	Professional		$66.07	$89.13	$134.90