Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Facility		$20.72	$20.72	$20.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $20.72 / $28.28	Professional		$15.94	$20.72	$28.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $25.15 / $25.15	Professional		$25.15	$25.15	$25.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219,999.78 / $519,999.48 / $949,999.05	Facility		$219,999.78	$519,999.48	$949,999.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $45.21 / $50.23	Professional		$34.15	$45.21	$50.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $39.57 / $39.57	Facility		$39.57	$39.57	$39.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $39.57 / $39.57	Professional		$39.57	$39.57	$39.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $25.17 / $105.78	Facility		$25.17	$25.17	$105.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $29.75	Professional		$21.39	$21.39	$29.75
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $28.92 / $28.92	Professional		$28.92	$28.92	$28.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $18.39 / $26.33	Professional		$11.19	$18.39	$26.33