Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $51.14 / $51.14	Professional		$42.21	$51.14	$51.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $82.02	Professional		$82.02	$82.02	$82.02
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 $84.20 / $111.45 / $123.83	Professional		$84.20	$111.45	$123.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $73.58 / $129.03	Facility		$9.81	$73.58	$129.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $73.58 / $129.03	Professional		$9.81	$73.58	$129.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $87.12	Facility		$65.95	$65.95	$87.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $65.95 / $87.12	Professional		$56.07	$65.95	$87.12
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $94.32 / $94.32	Professional		$94.32	$94.32	$94.32
United Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $54.03 / $86.67	Professional		$33.25	$54.03	$86.67