Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $66.07 / $275.42	Facility		$26.92	$66.07	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $123.03	Professional		$40.74	$61.66	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $97.72	Professional		$51.29	$75.86	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218,776.16 / $524,807.46 / $954,992.59	Facility		$218,776.16	$524,807.46	$954,992.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $138.04	Professional		$104.71	$104.71	$138.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $104.71 / $128.82	Facility		$93.33	$104.71	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $97.72	Facility		$57.54	$57.54	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $57.54	Professional		$38.02	$42.66	$57.54
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $112.20	Professional		$72.44	$109.65	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $104.71 / $123.03	Facility		$43.65	$104.71	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $69.18	Professional		$30.20	$50.12	$69.18