Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $153.22 / $153.22	Facility		$32.29	$153.22	$153.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $153.22 / $179.40	Professional		$116.46	$153.22	$179.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $187.45 / $220.53	Professional		$87.50	$187.45	$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 / $275.68 / $275.68	Facility		$267.62	$275.68	$275.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $267.62 / $358.38	Professional		$267.62	$267.62	$358.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $142.00 / $220.53	Facility		$142.00	$142.00	$220.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $142.00 / $215.36	Professional		$103.66	$142.00	$215.36
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $253.61 / $253.61	Professional		$100.63	$253.61	$253.61
United Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $129.44 / $209.46	Professional		$86.27	$129.44	$209.46