Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.21 / $153.22 / $153.22	Facility		$153.21	$153.22	$153.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.22 / $153.22 / $161.82	Professional		$114.22	$153.22	$161.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.53 / $220.53 / $220.53	Professional		$220.53	$220.53	$220.53
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 $237.97 / $314.95 / $349.96	Professional		$237.97	$314.95	$349.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $275.68	Facility		$267.62	$267.62	$275.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $267.62 / $267.62	Professional		$267.62	$267.62	$267.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $220.53	Facility		$135.00	$135.00	$220.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.00 / $215.36	Professional		$98.55	$135.00	$215.36
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $253.61 / $253.61 / $253.61	Professional		$253.61	$253.61	$253.61
United Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $124.16 / $165.72	Professional		$81.45	$124.16	$165.72