Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.60 / $306.42 / $349.44	Facility		$170.60	$306.42	$349.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.43 / $306.42 / $306.42	Professional		$228.43	$306.42	$306.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $441.02 / $441.02 / $441.02	Professional		$441.02	$441.02	$441.02
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 $475.91 / $629.88 / $699.87	Professional		$475.91	$629.88	$699.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $535.20 / $535.20 / $551.32	Facility		$535.20	$535.20	$551.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $535.20 / $535.20 / $535.20	Professional		$535.20	$535.20	$535.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $336.03 / $441.02	Facility		$321.89	$336.03	$441.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $414.30	Professional		$245.30	$245.30	$414.30
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $507.17 / $507.17 / $507.17	Professional		$507.17	$507.17	$507.17
United Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $248.33 / $331.44	Professional		$162.93	$248.33	$331.44