Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $131.22 / $166.05	Professional		$131.22	$131.22	$166.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.83 / $221.83 / $221.83	Professional		$221.83	$221.83	$221.83
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 $216.05 / $285.95 / $317.72	Professional		$216.05	$285.95	$317.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $188.80 / $349.05	Facility		$25.17	$188.80	$349.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $188.80 / $349.05	Professional		$25.17	$188.80	$349.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $226.01	Facility		$160.96	$160.96	$226.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $160.96 / $226.01	Professional		$136.82	$160.96	$226.01
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $255.10	Professional		$255.10	$255.10	$255.10
United Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $144.22 / $243.47	Professional		$83.97	$144.22	$243.47