Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $28.84	Professional		$15.14	$18.20	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $38.02	Professional		$29.51	$29.51	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $120.23 / $229.09	Facility		$50.12	$120.23	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $41.69	Professional		$39.81	$39.81	$41.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $27.54	Professional		$16.22	$22.39	$27.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $45.71 / $51.29	Facility		$18.62	$45.71	$51.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $48.98	Professional		$16.98	$21.88	$48.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $23.44	Professional		$16.22	$22.39	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $31.62 / $63.10	Facility		$25.70	$31.62	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $28.18	Professional		$15.49	$19.50	$28.18