Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.63 / $242.63 / $242.63	Professional		$242.63	$242.63	$242.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $419.17 / $419.17 / $419.17	Professional		$419.17	$419.17	$419.17
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 $399.47 / $528.71 / $587.46	Professional		$399.47	$528.71	$587.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.55 / $349.09 / $659.54	Facility		$46.55	$349.09	$659.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $349.09 / $659.54	Professional		$46.55	$349.09	$659.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $299.44 / $425.75	Facility		$299.44	$299.44	$425.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $299.44 / $425.75	Professional		$254.52	$299.44	$425.75
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $482.05 / $482.05 / $482.05	Professional		$482.05	$482.05	$482.05
United Facility/Professional Professional Modifier Low / Median / High Price $156.85 / $254.88 / $425.53	Professional		$156.85	$254.88	$425.53