Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.98 / $62.98 / $62.98	Facility		$62.98	$62.98	$62.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $62.97 / $62.98	Professional		$36.50	$62.97	$62.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $35.27 / $90.65	Professional		$35.27	$35.27	$90.65
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 $97.82 / $129.47 / $143.85	Professional		$97.82	$129.47	$143.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.31 / $113.31 / $141.63	Facility		$113.31	$113.31	$141.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.31 / $113.31 / $147.30	Professional		$113.31	$113.31	$147.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $70.80 / $90.65	Facility		$70.80	$70.80	$90.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $51.68 / $85.15	Professional		$51.68	$51.68	$85.15
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $104.25 / $104.25	Professional		$40.56	$104.25	$104.25
United Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $54.01 / $76.20	Professional		$37.68	$54.01	$76.20