Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.50 / $222.50 / $222.50	Facility		$222.50	$222.50	$222.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.86 / $222.50 / $222.50	Professional		$165.86	$222.50	$222.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $320.25 / $320.25 / $320.25	Professional		$320.25	$320.25	$320.25
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 $345.58 / $457.39 / $508.21	Professional		$345.58	$457.39	$508.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.31 / $400.31 / $433.78	Facility		$400.31	$400.31	$433.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $433.78 / $433.78 / $433.78	Professional		$433.78	$433.78	$433.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $320.25	Facility		$252.60	$252.60	$320.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $300.83	Professional		$184.40	$184.40	$300.83
United Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $197.93 / $253.44	Professional		$133.13	$197.93	$253.44