Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.76 / $396.76 / $396.76	Facility		$396.76	$396.76	$396.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.03 / $396.76 / $527.46	Professional		$354.03	$396.76	$527.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Professional		$480.00	$480.00	$480.00
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 $821.96 / $1,087.88 / $1,208.76	Professional		$821.96	$1,087.88	$1,208.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.90 / $76.09 / $584.73	Facility		$73.90	$76.09	$584.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Professional		$76.09	$76.09	$76.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $578.29 / $764.37	Facility		$578.29	$578.29	$764.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $578.29 / $745.56	Professional		$75.12	$578.29	$745.56
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $552.00 / $552.00 / $552.00	Professional		$552.00	$552.00	$552.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $101.70 / $762.66	Professional		$31.39	$101.70	$762.66