Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $3.28 / $3.28	Professional		$3.28	$3.28	$3.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $5.32	Professional		$5.32	$5.32	$5.32
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 $5.40 / $7.15 / $7.94	Professional		$5.40	$7.15	$7.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $4.72 / $7.86	Facility		$0.63	$4.72	$7.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $4.72 / $7.86	Professional		$0.63	$4.72	$7.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.20 / $5.51	Facility		$4.20	$4.20	$5.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $4.20 / $5.51	Professional		$3.57	$4.20	$5.51
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.12 / $6.12	Professional		$6.12	$6.12	$6.12
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $3.29 / $5.44	Professional		$2.02	$3.29	$5.44