Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.39 / $73.39 / $73.39	Facility		$73.39	$73.39	$73.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $73.39 / $76.04	Professional		$54.70	$73.39	$76.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $105.63 / $105.63	Professional		$105.63	$105.63	$105.63
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 $114.00 / $150.88 / $167.64	Professional		$114.00	$150.88	$167.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.04 / $132.04 / $137.32	Facility		$132.04	$132.04	$137.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $137.32 / $137.32	Professional		$137.32	$137.32	$137.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $105.63	Facility		$92.98	$92.98	$105.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $99.23	Professional		$67.88	$67.88	$99.23
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $121.47 / $121.47	Professional		$121.47	$121.47	$121.47
United Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $62.60 / $99.96	Professional		$42.11	$62.60	$99.96