Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.75 / $257.75 / $257.75	Facility		$257.75	$257.75	$257.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $257.75 / $257.75	Professional		$138.47	$257.75	$257.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $370.98 / $370.98 / $370.98	Professional		$370.98	$370.98	$370.98
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 $400.33 / $529.85 / $588.72	Professional		$400.33	$529.85	$588.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $420.88 / $420.88 / $429.14	Facility		$420.88	$420.88	$429.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $429.14 / $429.14 / $429.14	Professional		$429.14	$429.14	$429.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $370.98	Facility		$315.73	$315.73	$370.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $315.73 / $362.29	Professional		$230.48	$315.73	$362.29
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $426.63 / $426.63 / $426.63	Professional		$426.63	$426.63	$426.63
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $138.83 / $208.89 / $280.74	Professional		$138.83	$208.89	$280.74