Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.38 / $54.38 / $54.38	Facility		$54.38	$54.38	$54.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $54.38 / $58.75	Professional		$40.53	$54.38	$58.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $78.26 / $78.26	Professional		$78.26	$78.26	$78.26
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 $84.46 / $111.78 / $124.20	Professional		$84.46	$111.78	$124.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.83 / $97.83 / $122.29	Facility		$97.83	$97.83	$122.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.83 / $97.83 / $127.18	Professional		$97.83	$97.83	$127.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $72.18 / $78.26	Facility		$72.18	$72.18	$78.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $72.18 / $76.43	Professional		$52.69	$72.18	$76.43
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.01	Professional		$90.00	$90.00	$90.01
United Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $46.63 / $65.80	Professional		$32.54	$46.63	$65.80