Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.41 / $565.41 / $565.41	Facility		$565.41	$565.41	$565.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.51 / $565.41 / $565.41	Professional		$421.51	$565.41	$565.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $813.81 / $813.81 / $813.81	Professional		$813.81	$813.81	$813.81
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 $878.19 / $1,162.31 / $1,291.45	Professional		$878.19	$1,162.31	$1,291.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $987.62 / $987.62 / $1,017.36	Facility		$987.62	$987.62	$1,017.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $987.62 / $987.62 / $987.62	Professional		$987.62	$987.62	$987.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $813.81	Facility		$710.11	$710.11	$813.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $518.38 / $764.48	Professional		$518.38	$518.38	$764.48
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $935.88 / $935.88 / $935.88	Professional		$935.88	$935.88	$935.88
United Facility/Professional Professional Modifier Low / Median / High Price $300.64 / $458.23 / $611.58	Professional		$300.64	$458.23	$611.58