Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $81.81 / $81.81	Facility		$81.81	$81.81	$81.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $81.81 / $90.03	Professional		$61.00	$81.81	$90.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.75 / $117.75 / $117.75	Professional		$117.75	$117.75	$117.75
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 $127.06 / $168.17 / $186.86	Professional		$127.06	$168.17	$186.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.66 / $147.22 / $157.05	Facility		$146.66	$147.22	$157.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $146.66 / $196.31	Professional		$146.66	$146.66	$196.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $117.75	Facility		$102.60	$102.60	$117.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $102.60 / $114.99	Professional		$74.90	$102.60	$114.99
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $135.41 / $135.41	Professional		$135.41	$135.41	$135.41
United Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $69.86 / $111.80	Professional		$47.79	$69.86	$111.80