Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.57 / $445.57 / $445.57	Facility		$445.57	$445.57	$445.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.67 / $445.57 / $481.47	Professional		$382.67	$445.57	$481.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $641.32 / $641.32 / $641.32	Professional		$641.32	$641.32	$641.32
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 $692.05 / $915.95 / $1,017.72	Professional		$692.05	$915.95	$1,017.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $801.65 / $801.65 / $923.63	Facility		$801.65	$801.65	$923.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $801.65 / $801.65 / $801.65	Professional		$801.65	$801.65	$801.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.74 / $544.74 / $641.32	Facility		$544.74	$544.74	$641.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $544.74 / $626.29	Professional		$397.66	$544.74	$626.29
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $737.52 / $737.52 / $737.52	Professional		$737.52	$737.52	$737.52
United Facility/Professional Professional Modifier Low / Median / High Price $266.62 / $382.10 / $539.15	Professional		$266.62	$382.10	$539.15