Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $29.19 / $29.19	Facility		$29.19	$29.19	$29.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $27.43 / $29.19	Professional		$10.82	$27.43	$29.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $28.99 / $28.99	Professional		$28.99	$28.99	$28.99
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 $31.29 / $41.41 / $46.01	Professional		$31.29	$41.41	$46.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.24 / $36.24 / $36.24	Facility		$36.24	$36.24	$36.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $36.24 / $36.24	Professional		$36.24	$36.24	$36.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $24.26	Facility		$24.26	$24.26	$24.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $24.26 / $28.48	Professional		$17.71	$24.26	$28.48
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $33.34 / $33.34	Professional		$33.34	$33.34	$33.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $17.27 / $25.80	Professional		$10.85	$17.27	$25.80