Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.57 / $315.57 / $315.57	Facility		$315.57	$315.57	$315.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $303.00 / $315.57	Professional		$102.00	$303.00	$315.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $454.20 / $454.20 / $454.20	Professional		$454.20	$454.20	$454.20
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 $490.12 / $648.69 / $720.77	Professional		$490.12	$648.69	$720.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $551.21 / $551.21 / $567.80	Facility		$551.21	$551.21	$567.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $551.21 / $551.21 / $551.21	Professional		$551.21	$551.21	$551.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $454.20	Facility		$315.25	$315.25	$454.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $315.25 / $443.55	Professional		$230.13	$315.25	$443.55
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $522.33 / $522.33 / $522.33	Professional		$522.33	$522.33	$522.33
United Facility/Professional Professional Modifier Low / Median / High Price $167.80 / $255.74 / $368.30	Professional		$167.80	$255.74	$368.30