Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $88.00 / $88.00	Professional		$65.59	$88.00	$88.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.65 / $126.65 / $126.65	Professional		$126.65	$126.65	$126.65
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 $136.66 / $180.88 / $200.98	Professional		$136.66	$180.88	$200.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.63 / $153.63 / $158.32	Facility		$153.63	$153.63	$158.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $153.63 / $153.63	Professional		$153.63	$153.63	$153.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $126.65	Facility		$88.85	$88.85	$126.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $123.68	Professional		$64.86	$88.85	$123.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $145.65 / $145.65 / $145.65	Professional		$145.65	$145.65	$145.65
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $71.31 / $95.18	Professional		$46.77	$71.31	$95.18