Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $197.21 / $197.21	Professional		$161.62	$197.21	$197.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $303.39 / $303.39 / $303.39	Professional		$303.39	$303.39	$303.39
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 $324.69 / $429.73 / $477.48	Professional		$324.69	$429.73	$477.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $283.73 / $508.84	Facility		$37.83	$283.73	$508.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.83 / $283.73 / $508.84	Professional		$37.83	$283.73	$508.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.78 / $243.78 / $327.93	Facility		$243.78	$243.78	$327.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.21 / $243.78 / $327.93	Professional		$207.21	$243.78	$327.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $348.91 / $348.91 / $348.91	Professional		$348.91	$348.91	$348.91
United Facility/Professional Professional Modifier Low / Median / High Price $124.77 / $202.75 / $354.94	Professional		$124.77	$202.75	$354.94