Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.75 / $276.75 / $276.75	Facility		$276.75	$276.75	$276.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.50 / $276.75 / $277.08	Professional		$190.50	$276.75	$277.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.54 / $323.54 / $323.54	Professional		$323.54	$323.54	$323.54
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 $266.86 / $353.20 / $392.44	Professional		$266.86	$353.20	$392.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.94 / $310.94 / $310.94	Facility		$310.94	$310.94	$310.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $310.94 / $310.94 / $310.94	Professional		$310.94	$310.94	$310.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.75 / $301.51 / $301.51	Facility		$248.75	$301.51	$301.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $301.51 / $301.51	Professional		$220.10	$301.51	$301.51
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $372.07 / $372.07 / $372.07	Professional		$372.07	$372.07	$372.07
United Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $233.82 / $323.54	Professional		$147.19	$233.82	$323.54