Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $302.00	Professional		$158.49	$190.55	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,122.02 / $2,137.96	Facility		$467.74	$1,122.02	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $389.05	Professional		$354.81	$371.54	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $436.52	Professional		$173.78	$239.88	$436.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $707.95 / $794.33	Facility		$208.93	$707.95	$794.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $457.09	Professional		$186.21	$295.12	$457.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $257.04	Professional		$173.78	$239.88	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $446.68	Facility		$218.78	$295.12	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $263.03	Professional		$138.04	$177.83	$263.03