Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $204.76 / $633.28	Facility		$96.80	$204.76	$633.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $204.76 / $219.25	Professional		$168.73	$204.76	$219.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $294.70 / $294.70 / $294.70	Professional		$294.70	$294.70	$294.70
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 $318.02 / $420.91 / $467.68	Professional		$318.02	$420.91	$467.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $368.23 / $368.23 / $400.22	Facility		$368.23	$368.23	$400.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $400.22 / $400.22 / $400.22	Professional		$400.22	$400.22	$400.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $294.70	Facility		$233.36	$233.36	$294.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $233.36 / $287.80	Professional		$170.35	$233.36	$287.80
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $338.91 / $338.91 / $338.91	Professional		$338.91	$338.91	$338.91
United Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $180.50 / $245.52	Professional		$121.42	$180.50	$245.52