Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.08 / $347.08 / $347.08	Facility		$347.08	$347.08	$347.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.73 / $347.08 / $362.33	Professional		$258.73	$347.08	$362.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $499.57 / $499.57 / $499.57	Professional		$499.57	$499.57	$499.57
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 $539.08 / $713.49 / $792.77	Professional		$539.08	$713.49	$792.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $624.46 / $624.46 / $666.14	Facility		$624.46	$624.46	$666.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $666.14 / $666.14 / $666.14	Professional		$666.14	$666.14	$666.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.57 / $523.66 / $523.66	Facility		$499.57	$523.66	$523.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.42 / $382.28 / $523.66	Professional		$375.42	$382.28	$523.66
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $574.51 / $574.51 / $574.51	Professional		$574.51	$574.51	$574.51
United Facility/Professional Professional Modifier Low / Median / High Price $207.69 / $297.64 / $419.98	Professional		$207.69	$297.64	$419.98