Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.09 / $42.09 / $42.09	Facility		$42.09	$42.09	$42.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $42.09 / $45.47	Professional		$36.01	$42.09	$45.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $60.59 / $60.59	Professional		$60.59	$60.59	$60.59
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 $65.38 / $86.53 / $96.14	Professional		$65.38	$86.53	$96.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.54 / $77.54 / $86.90	Facility		$77.54	$77.54	$86.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $77.54	Professional		$77.54	$77.54	$77.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $60.58	Facility		$48.98	$48.98	$60.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $48.98 / $59.16	Professional		$35.76	$48.98	$59.16
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $69.68 / $69.68 / $69.68	Professional		$69.68	$69.68	$69.68
United Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $35.22 / $50.60	Professional		$25.19	$35.22	$50.60