Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $250.76 / $250.76	Professional		$208.71	$250.76	$250.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $484.52 / $484.52 / $484.52	Professional		$484.52	$484.52	$484.52
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 $412.83 / $546.40 / $607.11	Professional		$412.83	$546.40	$607.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $360.77 / $738.52	Facility		$48.10	$360.77	$738.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $360.77 / $738.52	Professional		$48.10	$360.77	$738.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $417.10	Facility		$310.87	$310.87	$417.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.87 / $310.87 / $417.10	Professional		$310.87	$310.87	$417.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $557.20 / $557.20 / $557.20	Professional		$557.20	$557.20	$557.20
United Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $271.45 / $458.34	Professional		$153.69	$271.45	$458.34