Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Facility		$54.71	$54.71	$54.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $54.71 / $54.71	Professional		$41.35	$54.71	$54.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $78.75 / $78.75	Professional		$78.75	$78.75	$78.75
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 $84.97 / $112.46 / $124.96	Professional		$84.97	$112.46	$124.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.26 / $92.26 / $99.79	Facility		$92.26	$92.26	$99.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.26 / $92.26 / $92.26	Professional		$92.26	$92.26	$92.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $78.73	Facility		$62.72	$62.72	$78.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $62.72 / $76.90	Professional		$45.79	$62.72	$76.90
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $90.56 / $90.56 / $90.56	Professional		$90.56	$90.56	$90.56
United Facility/Professional Facility Modifier Low / Median / High Price $104.56 / $104.56 / $123.01	Facility		$104.56	$104.56	$123.01
United Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $45.76 / $62.05	Professional		$30.68	$45.76	$62.05