Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $38.02 / $38.02	Professional		$28.34	$38.02	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $54.72 / $54.72	Professional		$54.72	$54.72	$54.72
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 $59.05 / $78.16 / $86.84	Professional		$59.05	$78.16	$86.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.40 / $68.40 / $76.15	Facility		$68.40	$68.40	$76.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $76.15 / $76.15	Professional		$76.15	$76.15	$76.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $54.72	Facility		$36.72	$36.72	$54.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $53.44	Professional		$26.81	$36.72	$53.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $62.93	Professional		$62.93	$62.93	$62.93
United Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $32.60 / $45.36	Professional		$22.43	$32.60	$45.36