Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $103.36 / $131.41	Professional		$103.36	$103.36	$131.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $141.97 / $239.06	Professional		$141.97	$141.97	$239.06
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 $170.17 / $225.23 / $250.25	Professional		$170.17	$225.23	$250.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $148.69 / $376.16	Facility		$19.82	$148.69	$376.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $148.69 / $376.16	Professional		$19.82	$148.69	$376.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $214.48	Facility		$126.72	$126.72	$214.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $126.72 / $169.65	Professional		$107.71	$126.72	$169.65
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $163.28 / $163.28 / $274.92	Professional		$163.28	$163.28	$274.92
United Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $120.45 / $262.38	Professional		$74.12	$120.45	$262.38