Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.20 / $571.20 / $571.20	Facility		$571.20	$571.20	$571.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.90 / $571.20 / $628.32	Professional		$340.90	$571.20	$628.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $822.14 / $822.14 / $822.14	Professional		$822.14	$822.14	$822.14
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 $887.16 / $1,174.19 / $1,304.65	Professional		$887.16	$1,174.19	$1,304.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.06 / $1,122.06 / $1,293.52	Facility		$1,122.06	$1,122.06	$1,293.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,293.52 / $1,293.52 / $1,293.52	Professional		$1,293.52	$1,293.52	$1,293.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $822.14	Facility		$700.00	$700.00	$822.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $700.00 / $802.86	Professional		$511.00	$700.00	$802.86
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $945.46 / $945.46 / $945.46	Professional		$945.46	$945.46	$945.46
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.80 / $478.09 / $691.16	Professional		$341.80	$478.09	$691.16