Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.51 / $586.51 / $586.51	Facility		$586.51	$586.51	$586.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.36 / $586.51 / $586.95	Professional		$406.36	$586.51	$586.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $434.78 / $434.78 / $694.92	Professional		$434.78	$434.78	$694.92
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 $585.39 / $774.78 / $860.87	Professional		$585.39	$774.78	$860.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $682.08 / $682.08 / $682.08	Facility		$682.08	$682.08	$682.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $682.08 / $682.08 / $682.08	Professional		$682.08	$682.08	$682.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.66 / $647.80 / $647.80	Facility		$545.66	$647.80	$647.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.90 / $472.90 / $647.80	Professional		$472.90	$472.90	$647.80
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $799.16	Professional		$500.00	$500.00	$799.16
United Facility/Professional Professional Modifier Low / Median / High Price $306.26 / $504.46 / $694.92	Professional		$306.26	$504.46	$694.92