Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $15.39 / $15.39	Facility		$15.39	$15.39	$15.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.39 / $15.39	Professional		$11.48	$15.39	$15.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $22.17 / $22.17	Professional		$22.17	$22.17	$22.17
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 $23.92 / $31.66 / $35.18	Professional		$23.92	$31.66	$35.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $26.94 / $27.71	Facility		$26.94	$26.94	$27.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $18.45 / $22.17	Facility		$18.45	$18.45	$22.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $18.45 / $21.65	Professional		$13.47	$18.45	$21.65
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $12.78 / $18.00	Professional		$8.19	$12.78	$18.00