Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.46 / $234.46 / $234.46	Professional		$234.46	$234.46	$234.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.10 / $168.10 / $168.10	Professional		$168.10	$168.10	$168.10
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 $386.48 / $511.52 / $568.36	Professional		$386.48	$511.52	$568.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.77 / $44.77 / $44.77	Facility		$44.77	$44.77	$44.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $44.77 / $44.77	Professional		$44.77	$44.77	$44.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $321.39	Facility		$209.52	$209.52	$321.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $209.52 / $321.39	Professional		$178.09	$209.52	$321.39
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $193.32 / $193.32 / $193.32	Professional		$193.32	$193.32	$193.32
United Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $210.84 / $298.02	Professional		$126.60	$210.84	$298.02