Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.15 / $537.15 / $879.08	Professional		$537.15	$537.15	$879.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $989.40 / $989.40 / $989.40	Professional		$989.40	$989.40	$989.40
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 $884.37 / $1,170.50 / $1,300.55	Professional		$884.37	$1,170.50	$1,300.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $772.82 / $1,030.43	Facility		$103.04	$772.82	$1,030.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.04 / $772.82 / $1,030.43	Professional		$103.04	$772.82	$1,030.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $670.25 / $971.18	Facility		$670.25	$670.25	$971.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.25 / $670.25 / $971.18	Professional		$670.25	$670.25	$971.18
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,137.81 / $1,137.81 / $1,137.81	Professional		$1,137.81	$1,137.81	$1,137.81
United Facility/Professional Professional Modifier Low / Median / High Price $367.64 / $618.26 / $935.97	Professional		$367.64	$618.26	$935.97