Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.74 / $5.74 / $5.74	Facility		$5.74	$5.74	$5.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $5.74 / $5.74	Professional		$1.94	$5.74	$5.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $4.53 / $4.53	Professional		$4.53	$4.53	$4.53
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 $9.03 / $9.03 / $9.03	Professional		$9.03	$9.03	$9.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.12 / $7.12 / $8.90	Facility		$7.12	$7.12	$8.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $7.12 / $9.26	Professional		$7.12	$7.12	$9.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $4.28 / $4.53	Facility		$4.12	$4.28	$4.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $4.28 / $5.03	Professional		$3.64	$4.28	$5.03
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $5.21 / $5.21	Professional		$5.21	$5.21	$5.21
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.21 / $4.29	Professional		$2.00	$3.21	$4.29