Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $117.31 / $117.31	Facility		$117.31	$117.31	$117.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $117.31 / $117.31	Professional		$87.45	$117.31	$117.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.85 / $168.85 / $168.85	Professional		$168.85	$168.85	$168.85
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 $182.20 / $241.15 / $267.94	Professional		$182.20	$241.15	$267.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.94 / $204.94 / $211.07	Facility		$204.94	$204.94	$211.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.94 / $204.94 / $204.94	Professional		$204.94	$204.94	$204.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $168.85	Facility		$140.54	$140.54	$168.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $158.60	Professional		$102.59	$102.59	$158.60
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $194.18 / $194.18 / $194.18	Professional		$194.18	$194.18	$194.18
United Facility/Professional Professional Modifier Low / Median / High Price $62.38 / $98.12 / $127.17	Professional		$62.38	$98.12	$127.17