Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $91.51 / $91.51	Professional		$91.51	$91.51	$91.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.36 / $142.36 / $142.36	Professional		$142.36	$142.36	$142.36
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 $150.66 / $199.40 / $221.56	Professional		$150.66	$199.40	$221.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $131.66 / $223.99	Facility		$17.55	$131.66	$223.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $131.66 / $223.99	Professional		$17.55	$131.66	$223.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $150.25	Facility		$114.47	$114.47	$150.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $150.25	Professional		$97.30	$114.47	$150.25
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $163.71 / $163.71	Professional		$163.71	$163.71	$163.71
United Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $92.30 / $149.88	Professional		$58.04	$92.30	$149.88