Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.94 / $817.94 / $817.94	Facility		$817.94	$817.94	$817.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.83 / $795.33 / $817.94	Professional		$543.83	$795.33	$817.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $948.02 / $948.02 / $948.02	Professional		$948.02	$948.02	$948.02
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 $771.13 / $1,020.62 / $1,134.02	Professional		$771.13	$1,020.62	$1,134.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $898.49 / $898.49 / $898.49	Facility		$898.49	$898.49	$898.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $898.49 / $898.49 / $898.49	Professional		$898.49	$898.49	$898.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $718.79 / $812.83 / $952.31	Facility		$718.79	$812.83	$952.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $812.83 / $952.31	Professional		$593.37	$812.83	$952.31
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,090.22 / $1,090.22 / $1,090.22	Professional		$1,090.22	$1,090.22	$1,090.22
United Facility/Professional Professional Modifier Low / Median / High Price $420.18 / $691.06 / $921.42	Professional		$420.18	$691.06	$921.42