Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.05 / $65.05 / $65.05	Facility		$65.05	$65.05	$65.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $65.05 / $65.05	Professional		$48.49	$65.05	$65.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.63 / $93.63 / $93.63	Professional		$93.63	$93.63	$93.63
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 $101.04 / $133.72 / $148.59	Professional		$101.04	$133.72	$148.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.04 / $117.04 / $117.04	Facility		$117.04	$117.04	$117.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.04 / $117.04 / $117.04	Professional		$117.04	$117.04	$117.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $93.63	Facility		$75.70	$75.70	$93.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $87.95	Professional		$55.27	$55.27	$87.95
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $107.67 / $107.67 / $107.67	Professional		$107.67	$107.67	$107.67
United Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $54.41 / $78.20	Professional		$35.61	$54.41	$78.20