Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $588.84	Professional		$295.12	$380.19	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,238.72 / $4,265.80	Facility		$954.99	$2,238.72	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $741.31 / $776.25	Professional		$707.95	$741.31	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $870.96	Professional		$302.00	$407.38	$870.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,412.54 / $1,584.89	Facility		$426.58	$1,412.54	$1,584.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $588.84 / $912.01	Professional		$363.08	$588.84	$912.01
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $436.52	Professional		$302.00	$407.38	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $602.56 / $891.25	Facility		$331.13	$602.56	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $524.81	Professional		$275.42	$354.81	$524.81