Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.05 / $66.98 / $94.32	Facility		$50.05	$66.98	$94.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $66.98 / $67.20	Professional		$52.67	$66.98	$67.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $96.39 / $96.39	Professional		$96.39	$96.39	$96.39
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 $104.02 / $137.66 / $152.97	Professional		$104.02	$137.66	$152.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.95 / $110.95 / $146.66	Facility		$110.95	$110.95	$146.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $110.95 / $110.95	Professional		$110.95	$110.95	$110.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $88.85 / $96.39	Facility		$84.33	$88.85	$96.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $94.14	Professional		$64.86	$88.85	$94.14
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $110.85 / $110.85 / $110.85	Professional		$110.85	$110.85	$110.85
United Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $55.35 / $74.62	Professional		$36.90	$55.35	$74.62