Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.12 / $279.12 / $279.12	Facility		$279.12	$279.12	$279.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.11 / $279.12 / $279.12	Professional		$220.11	$279.12	$279.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $401.74 / $401.74 / $401.74	Professional		$401.74	$401.74	$401.74
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 $433.52 / $573.78 / $637.53	Professional		$433.52	$573.78	$637.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $502.18 / $502.18 / $531.24	Facility		$502.18	$502.18	$531.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $502.18 / $502.18 / $502.18	Professional		$502.18	$502.18	$502.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $401.74	Facility		$313.79	$313.79	$401.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $313.79 / $392.33	Professional		$229.07	$313.79	$392.33
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $462.00 / $462.00	Professional		$462.00	$462.00	$462.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.02 / $248.30 / $401.74	Professional		$167.02	$248.30	$401.74