Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.57 / $133.57 / $133.57	Facility		$133.57	$133.57	$133.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $133.57 / $415.34	Professional		$101.54	$133.57	$415.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.25 / $192.25 / $192.25	Professional		$192.25	$192.25	$192.25
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 $207.45 / $274.57 / $305.08	Professional		$207.45	$274.57	$305.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.30 / $240.34 / $240.34	Facility		$233.30	$240.34	$240.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $233.30 / $233.30 / $312.44	Professional		$233.30	$233.30	$312.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $192.25	Facility		$152.55	$152.55	$192.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $152.55 / $187.74	Professional		$111.36	$152.55	$187.74
United Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $108.25 / $155.91	Professional		$71.02	$108.25	$155.91