Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.42 / $306.42 / $306.42	Facility		$306.42	$306.42	$306.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.12 / $306.42 / $358.79	Professional		$237.12	$306.42	$358.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $440.00 / $441.02	Professional		$318.00	$440.00	$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 $375.73 / $375.73 / $441.02	Facility		$375.73	$375.73	$441.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $375.73 / $430.69	Professional		$274.27	$375.73	$430.69
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $365.70 / $365.70 / $507.17	Professional		$365.70	$365.70	$507.17
United Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $266.45 / $400.47	Professional		$162.93	$266.45	$400.47