Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.70 / $380.70 / $380.70	Facility		$380.70	$380.70	$380.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.38 / $380.70 / $452.51	Professional		$378.38	$380.70	$452.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $547.94 / $547.94 / $547.94	Professional		$547.94	$547.94	$547.94
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 $591.29 / $782.59 / $869.54	Professional		$591.29	$782.59	$869.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $796.75 / $796.75 / $913.24	Facility		$796.75	$796.75	$913.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $796.75 / $796.75 / $796.75	Professional		$796.75	$796.75	$796.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $547.94	Facility		$460.00	$460.00	$547.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $460.00 / $535.10	Professional		$335.80	$460.00	$535.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $630.13 / $630.13 / $630.13	Professional		$630.13	$630.13	$630.13
United Facility/Professional Professional Modifier Low / Median / High Price $227.80 / $326.47 / $460.65	Professional		$227.80	$326.47	$460.65