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 $36.11 / $52.48 / $52.53	Professional		$36.11	$52.48	$52.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $61.35 / $61.35	Professional		$61.35	$61.35	$61.35
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 $50.60 / $66.97 / $74.41	Professional		$50.60	$66.97	$74.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $58.96 / $58.96	Facility		$58.96	$58.96	$58.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $58.96 / $58.96	Professional		$58.96	$58.96	$58.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.17 / $52.17 / $52.17	Facility		$47.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $52.17 / $59.30	Professional		$44.34	$52.17	$59.30
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $70.55 / $70.55	Professional		$70.55	$70.55	$70.55
United Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $44.34 / $61.35	Professional		$27.91	$44.34	$61.35