Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $54.78 / $349.21	Facility		$41.77	$54.78	$349.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $54.78 / $59.18	Professional		$35.84	$54.78	$59.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $69.50 / $69.50	Professional		$69.50	$69.50	$69.50
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 $64.54 / $85.42 / $94.91	Professional		$64.54	$85.42	$94.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.89 / $75.20 / $86.11	Facility		$68.89	$75.20	$86.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $75.20 / $97.76	Professional		$75.20	$75.20	$97.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $67.14 / $76.52	Facility		$60.16	$67.14	$76.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $67.14 / $74.06	Professional		$49.01	$67.14	$74.06
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $79.93 / $79.93	Professional		$79.93	$79.93	$79.93
United Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $46.98 / $66.28	Professional		$32.78	$46.98	$66.28