Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Facility		$49.22	$49.22	$49.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $49.22 / $51.58	Professional		$38.53	$49.22	$51.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $70.84 / $70.84	Professional		$70.84	$70.84	$70.84
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 $76.44 / $101.17 / $112.41	Professional		$76.44	$101.17	$112.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.16 / $92.16 / $112.58	Facility		$92.16	$92.16	$112.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $92.16 / $92.16	Professional		$92.16	$92.16	$92.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $60.55 / $70.84	Facility		$60.55	$60.55	$70.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $60.55 / $69.18	Professional		$44.20	$60.55	$69.18
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $81.47 / $81.47 / $81.47	Professional		$81.47	$81.47	$81.47
United Facility/Professional Facility Modifier Low / Median / High Price $100.35 / $100.35 / $118.06	Facility		$100.35	$100.35	$118.06
United Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $42.20 / $59.17	Professional		$29.45	$42.20	$59.17