Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $53.69 / $53.69	Professional		$45.67	$53.69	$53.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $91.38 / $91.38	Professional		$91.38	$91.38	$91.38
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 $88.39 / $116.99 / $129.99	Professional		$88.39	$116.99	$129.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $77.23 / $143.78	Facility		$10.30	$77.23	$143.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $77.23 / $143.78	Professional		$10.30	$77.23	$143.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $92.30	Facility		$66.45	$66.45	$92.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $66.45 / $88.97	Professional		$56.49	$66.45	$88.97
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $105.09 / $105.09	Professional		$105.09	$105.09	$105.09
United Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $56.19 / $100.30	Professional		$34.58	$56.19	$100.30