Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $794.33	Professional		$416.87	$537.03	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $741.31 / $776.25	Professional		$660.69	$741.31	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,818.38 / $5,370.32	Facility		$1,174.90	$2,818.38	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $933.25 / $977.24	Professional		$891.25	$933.25	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $1,096.48	Professional		$426.58	$588.84	$1,096.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,778.28 / $1,995.26	Facility		$537.03	$1,778.28	$1,995.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,148.15	Professional		$524.81	$741.31	$1,148.15
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $616.60	Professional		$426.58	$588.84	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $741.31 / $1,258.93	Facility		$467.74	$741.31	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $707.95	Professional		$389.05	$467.74	$707.95