Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.70 / $39.70 / $39.70	Facility		$39.70	$39.70	$39.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $39.70 / $39.70	Professional		$22.19	$39.70	$39.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $57.13 / $57.13	Professional		$57.13	$57.13	$57.13
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 $61.65 / $81.59 / $90.66	Professional		$61.65	$81.59	$90.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.56 / $53.56 / $53.56	Facility		$53.56	$53.56	$53.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $53.56 / $53.56	Professional		$53.56	$53.56	$53.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $57.13	Facility		$39.15	$39.15	$57.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $39.15 / $55.79	Professional		$28.59	$39.15	$55.79
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $65.70 / $65.70	Professional		$65.70	$65.70	$65.70
United Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $51.23	Facility		$51.23	$51.23	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $28.95 / $42.85	Professional		$17.82	$28.95	$42.85