Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.02 / $172.02 / $172.02	Facility		$172.02	$172.02	$172.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $172.02 / $185.87	Professional		$128.22	$172.02	$185.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.58 / $247.58 / $247.58	Professional		$247.58	$247.58	$247.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219,999.78 / $539,999.46 / $949,999.05	Facility		$219,999.78	$539,999.46	$949,999.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.17 / $353.60 / $392.89	Professional		$267.17	$353.60	$392.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.48 / $309.48 / $309.48	Facility		$309.48	$309.48	$309.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.48 / $309.48 / $309.48	Professional		$309.48	$309.48	$309.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $247.58	Facility		$216.42	$216.42	$247.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $216.42 / $241.78	Professional		$157.99	$216.42	$241.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $240.72 / $284.72 / $284.72	Professional		$240.72	$284.72	$284.72
United Facility/Professional Facility Modifier Low / Median / High Price $118.96 / $153.02 / $154.40	Facility		$118.96	$153.02	$154.40
United Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $143.97 / $195.90	Professional		$102.93	$143.97	$195.90