Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.84 / $378.84 / $378.84	Facility		$378.84	$378.84	$378.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.42 / $378.84 / $378.84	Professional		$282.42	$378.84	$378.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $545.26 / $545.26 / $545.27	Professional		$545.26	$545.26	$545.27
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 $588.40 / $778.76 / $865.29	Professional		$588.40	$778.76	$865.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $661.72 / $661.72 / $681.64	Facility		$661.72	$661.72	$681.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $661.72 / $661.72 / $661.72	Professional		$661.72	$661.72	$661.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $419.48 / $545.26	Facility		$419.48	$419.48	$545.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $419.48 / $532.49	Professional		$306.22	$419.48	$532.49
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $627.04 / $627.04 / $627.05	Professional		$627.04	$627.04	$627.05
United Facility/Professional Professional Modifier Low / Median / High Price $201.43 / $307.02 / $409.78	Professional		$201.43	$307.02	$409.78