Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $1,548.82 / $4,786.30	Facility		$33.11	$1,548.82	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $5,754.40	Professional		$32.36	$33.11	$5,754.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $72.44 / $177.83	Facility		$44.67	$72.44	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $44.67	Professional		$42.66	$44.67	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $104.71 / $6,309.57	Facility		$30.20	$104.71	$6,309.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $43.65	Professional		$23.99	$32.36	$43.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.95 / $23.99	Facility		$15.85	$19.95	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $42.66	Professional		$39.81	$39.81	$42.66