Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $52.48 / $52.48	Professional		$27.84	$52.48	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $75.54 / $75.54	Professional		$75.54	$75.54	$75.54
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 $81.51 / $107.88 / $119.87	Professional		$81.51	$107.88	$119.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.65 / $91.65 / $94.43	Facility		$91.65	$91.65	$94.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.65 / $91.65 / $91.65	Professional		$91.65	$91.65	$91.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $75.54	Facility		$58.60	$58.60	$75.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $58.60 / $73.77	Professional		$42.78	$58.60	$73.77
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $86.87 / $86.87 / $86.87	Professional		$86.87	$86.87	$86.87
United Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $42.53 / $56.89	Professional		$27.91	$42.53	$56.89