Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $229.09	Professional		$112.20	$144.54	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $812.83 / $1,584.89	Facility		$346.74	$812.83	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $288.40	Professional		$275.42	$275.42	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $169.82 / $169.82	Facility		$107.15	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $316.23	Professional		$125.89	$125.89	$316.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $512.86 / $575.44	Facility		$154.88	$512.86	$575.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $331.13	Professional		$134.90	$218.78	$331.13
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $169.82 / $169.82	Facility		$107.15	$169.82	$169.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $181.97	Professional		$107.15	$169.82	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $218.78 / $331.13	Facility		$125.89	$218.78	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $194.98	Professional		$100.00	$131.83	$194.98