Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $65.90 / $65.90	Facility		$65.90	$65.90	$65.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $65.90 / $65.90	Professional		$34.94	$65.90	$65.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $94.85 / $94.85	Professional		$94.85	$94.85	$94.85
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 $102.35 / $135.46 / $150.51	Professional		$102.35	$135.46	$150.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.08 / $115.08 / $118.56	Facility		$115.08	$115.08	$118.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $115.08 / $115.08	Professional		$115.08	$115.08	$115.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $383.66	Facility		$65.81	$65.81	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $65.81 / $92.62	Professional		$48.04	$65.81	$92.62
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $109.08 / $109.08	Professional		$69.00	$109.08	$109.08
United Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $119.37 / $140.44	Facility		$119.37	$119.37	$140.44
United Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $53.40 / $71.27	Professional		$35.03	$53.40	$71.27