Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.95 / $372.95 / $372.95	Facility		$372.95	$372.95	$372.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $372.95 / $372.95	Professional		$193.00	$372.95	$372.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $339.11 / $339.11 / $339.11	Professional		$339.11	$339.11	$339.11
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 $579.26 / $766.67 / $851.86	Professional		$579.26	$766.67	$851.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $581.78 / $581.78 / $581.78	Facility		$581.78	$581.78	$581.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $581.78 / $581.78 / $581.78	Professional		$581.78	$581.78	$581.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.92 / $378.92 / $613.97	Facility		$378.92	$378.92	$613.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $378.92 / $524.22	Professional		$276.61	$378.92	$524.22
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $389.98 / $389.98 / $389.98	Professional		$389.98	$389.98	$389.98
United Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $302.24 / $403.39	Professional		$193.50	$302.24	$403.39