Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.93 / $71.94 / $296.89	Facility		$71.93	$71.94	$296.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $71.94 / $221.22	Professional		$40.14	$71.94	$221.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $103.54 / $103.54	Professional		$65.00	$103.54	$103.54
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 $111.74 / $147.88 / $164.32	Professional		$111.74	$147.88	$164.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $155.83 / $157.91	Facility		$124.66	$155.83	$157.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.74 / $149.74 / $205.30	Professional		$149.74	$149.74	$205.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $86.64 / $103.54	Facility		$86.64	$86.64	$103.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $86.64 / $101.12	Professional		$63.25	$86.64	$101.12
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $119.07 / $119.07	Professional		$74.75	$119.07	$119.07
United Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $60.22 / $78.91	Professional		$41.46	$60.22	$78.91