Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.08 / $604.08 / $604.08	Facility		$604.08	$604.08	$604.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.22 / $604.08 / $615.59	Professional		$423.22	$604.08	$615.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $360.96 / $360.96 / $837.84	Professional		$360.96	$360.96	$837.84
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 $613.63 / $812.16 / $902.40	Professional		$613.63	$812.16	$902.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $714.98 / $714.98 / $714.98	Facility		$714.98	$714.98	$714.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $714.98 / $714.98 / $714.98	Professional		$714.98	$714.98	$714.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.98 / $636.97 / $712.60	Facility		$571.98	$636.97	$712.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $636.97 / $672.36	Professional		$464.99	$636.97	$672.36
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $415.10 / $415.10 / $963.52	Professional		$415.10	$415.10	$963.52
United Facility/Professional Professional Modifier Low / Median / High Price $321.20 / $519.57 / $769.49	Professional		$321.20	$519.57	$769.49