Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.45 / $294.45 / $294.45	Facility		$294.45	$294.45	$294.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.49 / $294.45 / $294.45	Professional		$219.49	$294.45	$294.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $423.81 / $423.81 / $423.81	Professional		$423.81	$423.81	$423.81
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 $457.34 / $605.29 / $672.56	Professional		$457.34	$605.29	$672.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.76 / $529.76 / $631.55	Facility		$529.76	$529.76	$631.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $631.55 / $631.55 / $631.55	Professional		$631.55	$631.55	$631.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.03 / $331.03 / $423.81	Facility		$331.03	$331.03	$423.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $331.03 / $413.88	Professional		$241.65	$331.03	$413.88
United Facility/Professional Professional Modifier Low / Median / High Price $176.20 / $261.94 / $353.98	Professional		$176.20	$261.94	$353.98