Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.55 / $62.55 / $62.55	Facility		$62.55	$62.55	$62.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $62.55 / $62.55	Professional		$42.21	$62.55	$62.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $74.81 / $74.81	Professional		$74.81	$74.81	$74.81
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 $63.93 / $84.62 / $94.02	Professional		$63.93	$84.62	$94.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $74.48 / $74.48	Facility		$74.48	$74.48	$74.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $74.48 / $74.48	Professional		$74.48	$74.48	$74.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.59 / $67.20 / $77.70	Facility		$59.59	$67.20	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $67.20 / $77.70	Professional		$49.06	$67.20	$77.70
United Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $124.56	Facility		$105.88	$105.88	$124.56
United Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $51.37 / $69.87	Professional		$34.54	$51.37	$69.87