Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.62 / $817.94 / $817.94	Facility		$496.62	$817.94	$817.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.77 / $817.94 / $817.94	Professional		$549.77	$817.94	$817.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,177.27 / $1,177.27 / $1,177.27	Professional		$1,177.27	$1,177.27	$1,177.27
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 $1,270.40 / $1,681.41 / $1,868.23	Professional		$1,270.40	$1,681.41	$1,868.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,263.33 / $1,263.33 / $1,649.12	Facility		$1,263.33	$1,263.33	$1,649.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,263.33 / $1,263.33 / $1,263.33	Professional		$1,263.33	$1,263.33	$1,263.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $1,177.27	Facility		$906.54	$906.54	$1,177.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $906.54 / $1,149.68	Professional		$661.77	$906.54	$1,149.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,353.86 / $1,353.86 / $1,353.86	Professional		$1,353.86	$1,353.86	$1,353.86
United Facility/Professional Professional Modifier Low / Median / High Price $420.18 / $682.79 / $884.73	Professional		$420.18	$682.79	$884.73