Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.17 / $691.17 / $691.17	Facility		$691.17	$691.17	$691.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.45 / $691.17 / $691.17	Professional		$453.45	$691.17	$691.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $808.01 / $808.01 / $808.01	Professional		$808.01	$808.01	$808.01
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 $666.45 / $882.07 / $980.08	Professional		$666.45	$882.07	$980.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.53 / $776.53 / $776.53	Facility		$776.53	$776.53	$776.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.53 / $776.53 / $776.53	Professional		$776.53	$776.53	$776.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.22 / $758.68 / $758.68	Facility		$621.22	$758.68	$758.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $758.68 / $758.68	Professional		$553.84	$758.68	$758.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $929.21 / $929.21 / $929.21	Professional		$929.21	$929.21	$929.21
United Facility/Professional Professional Modifier Low / Median / High Price $367.59 / $583.95 / $834.89	Professional		$367.59	$583.95	$834.89