Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.73 / $2.73	Facility		$2.73	$2.73	$2.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $2.73 / $2.73	Professional		$0.95	$2.73	$2.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.15 / $2.15	Professional		$2.15	$2.15	$2.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219,999.78 / $539,999.46 / $949,999.05	Facility		$219,999.78	$539,999.46	$949,999.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $4.30	Professional		$4.30	$4.30	$4.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Facility		$3.39	$3.39	$3.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $2.04 / $2.04	Facility		$1.80	$2.04	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $2.04 / $2.40	Professional		$1.73	$2.04	$2.40
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $2.47	Professional		$2.47	$2.47	$2.47
United Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $1.52 / $2.02	Professional		$0.96	$1.52	$2.02