Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.58 / $260.58 / $260.58	Facility		$260.58	$260.58	$260.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.28 / $260.58 / $265.68	Professional		$183.28	$260.58	$265.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $375.08 / $375.08 / $375.08	Professional		$375.08	$375.08	$375.08
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 $404.75 / $535.70 / $595.22	Professional		$404.75	$535.70	$595.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $442.37 / $442.37 / $485.22	Facility		$442.37	$442.37	$485.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $485.22 / $485.22 / $485.22	Professional		$485.22	$485.22	$485.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $375.08	Facility		$345.03	$345.03	$375.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $345.03 / $366.29	Professional		$251.87	$345.03	$366.29
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $431.34 / $431.34 / $431.34	Professional		$431.34	$431.34	$431.34
United Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $218.72 / $297.52	Professional		$147.13	$218.72	$297.52