Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.08 / $317.08 / $317.08	Facility		$317.08	$317.08	$317.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.54 / $317.08 / $334.62	Professional		$249.54	$317.08	$334.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $456.38 / $456.38 / $456.38	Professional		$456.38	$456.38	$456.38
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 $492.48 / $651.80 / $724.23	Professional		$492.48	$651.80	$724.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $557.15 / $557.15 / $602.28	Facility		$557.15	$557.15	$602.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $557.15 / $557.15 / $557.15	Professional		$557.15	$557.15	$557.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $372.88 / $456.38	Facility		$372.88	$372.88	$456.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $372.88 / $445.68	Professional		$272.20	$372.88	$445.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $524.84 / $524.84 / $524.84	Professional		$524.84	$524.84	$524.84
United Facility/Professional Professional Modifier Low / Median / High Price $188.42 / $271.91 / $440.84	Professional		$188.42	$271.91	$440.84