Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.33 / $61.33 / $61.33	Facility		$61.33	$61.33	$61.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $61.33 / $61.33	Professional		$31.75	$61.33	$61.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $88.28 / $88.28	Professional		$88.28	$88.28	$88.28
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 $95.26 / $126.08 / $140.09	Professional		$95.26	$126.08	$140.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.73 / $95.73 / $97.24	Facility		$95.73	$95.73	$97.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $97.24 / $97.24	Professional		$97.24	$97.24	$97.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $88.28	Facility		$56.69	$62.81	$88.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $86.21	Professional		$45.85	$62.81	$86.21
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $101.52 / $101.52 / $101.52	Professional		$101.52	$101.52	$101.52
United Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $49.70 / $66.33	Professional		$31.84	$49.70	$66.33