Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.09 / $90.09 / $90.09	Facility		$90.09	$90.09	$90.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.52 / $90.09 / $103.00	Professional		$60.52	$90.09	$103.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $129.66 / $129.66	Professional		$120.00	$129.66	$129.66
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 $139.93 / $185.20 / $205.78	Professional		$139.93	$185.20	$205.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.07 / $171.23 / $171.88	Facility		$146.07	$171.23	$171.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.88 / $171.88 / $214.04	Professional		$171.88	$171.88	$214.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $129.66	Facility		$95.80	$96.73	$129.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $96.73 / $126.63	Professional		$70.61	$96.73	$126.63
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $149.12 / $149.12	Professional		$138.00	$149.12	$149.12
United Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $73.01 / $98.24	Professional		$48.58	$73.01	$98.24