Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.79 / $600.79 / $600.79	Facility		$600.79	$600.79	$600.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.62 / $600.79 / $600.79	Professional		$318.62	$600.79	$600.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $864.74 / $864.74 / $864.74	Professional		$864.74	$864.74	$864.74
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 $933.15 / $1,235.05 / $1,372.28	Professional		$933.15	$1,235.05	$1,372.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,049.40 / $1,049.40 / $1,081.00	Facility		$1,049.40	$1,049.40	$1,081.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,049.40 / $1,049.40 / $1,049.40	Professional		$1,049.40	$1,049.40	$1,049.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.38 / $731.38 / $864.74	Facility		$731.38	$731.38	$864.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $731.38 / $844.48	Professional		$533.91	$731.38	$844.48
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $994.45 / $994.45 / $994.45	Professional		$994.45	$994.45	$994.45
United Facility/Professional Professional Modifier Low / Median / High Price $319.45 / $486.89 / $651.29	Professional		$319.45	$486.89	$651.29