Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $71.06 / $71.06	Facility		$71.06	$71.06	$71.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $71.06 / $71.06	Professional		$52.97	$71.06	$71.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $102.27 / $102.27	Professional		$102.27	$102.27	$102.27
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 $110.36 / $146.06 / $162.29	Professional		$110.36	$146.06	$162.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.16 / $124.16 / $127.84	Facility		$124.16	$124.16	$127.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $124.16 / $124.16	Professional		$124.16	$124.16	$124.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $102.27	Facility		$70.98	$70.98	$102.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $70.98 / $99.87	Professional		$51.82	$70.98	$99.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $117.61 / $117.61	Professional		$117.61	$117.61	$117.61
United Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $57.59 / $77.03	Professional		$37.78	$57.59	$77.03