Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $52.50 / $52.50	Facility		$52.50	$52.50	$52.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $52.50 / $52.50	Professional		$38.42	$52.50	$52.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $75.56 / $75.56	Professional		$75.56	$75.56	$75.56
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 $81.55 / $107.94 / $119.93	Professional		$81.55	$107.94	$119.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $97.58 / $110.21	Facility		$97.58	$97.58	$110.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $97.58 / $97.58	Professional		$97.58	$97.58	$97.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $75.56	Facility		$62.81	$62.81	$75.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $73.80	Professional		$45.85	$62.81	$73.80
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $86.91 / $86.91 / $86.91	Professional		$86.91	$86.91	$86.91
United Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $43.64 / $58.83	Professional		$29.10	$43.64	$58.83