Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.80 / $54.80 / $54.80	Facility		$54.80	$54.80	$54.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $54.80 / $54.80	Professional		$40.86	$54.80	$54.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $78.87 / $78.87	Professional		$78.87	$78.87	$78.87
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 $85.11 / $112.64 / $125.16	Professional		$85.11	$112.64	$125.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.72 / $95.72 / $98.61	Facility		$95.72	$95.72	$98.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.72 / $95.72 / $95.72	Professional		$95.72	$95.72	$95.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $66.58 / $78.87	Facility		$66.58	$66.58	$78.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $66.58 / $77.02	Professional		$48.60	$66.58	$77.02
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $90.70 / $90.70	Professional		$90.70	$90.70	$90.70
United Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $44.41 / $59.26	Professional		$29.14	$44.41	$59.26