Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.46 / $19.46	Professional		$16.60	$19.46	$19.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $36.14 / $40.93	Professional		$28.99	$36.14	$40.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149,999.85 / $399,999.60 / $999,999.00	Facility		$149,999.85	$399,999.60	$999,999.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $42.42 / $47.13	Professional		$32.04	$42.42	$47.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $28.01 / $60.62	Facility		$3.73	$28.01	$60.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $28.01 / $60.62	Professional		$3.73	$28.01	$60.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $37.24	Facility		$24.27	$24.27	$37.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $24.27 / $37.24	Professional		$24.27	$24.27	$37.24
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $33.34 / $41.56	Professional		$33.34	$33.34	$41.56
United Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $19.48 / $25.96	Facility		$2.18	$19.48	$25.96
United Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $21.73 / $36.45	Professional		$13.37	$21.73	$36.45