Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $165.95 / $538.99	Facility		$84.00	$165.95	$538.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $165.95 / $253.82	Professional		$126.14	$165.95	$253.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $238.86 / $238.86	Professional		$238.86	$238.86	$238.86
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 $257.75 / $341.15 / $379.05	Professional		$257.75	$341.15	$379.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.86 / $289.86 / $298.61	Facility		$289.86	$289.86	$298.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $289.86 / $289.86 / $289.86	Professional		$289.86	$289.86	$289.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $238.86	Facility		$175.00	$175.00	$238.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $175.00 / $233.26	Professional		$127.75	$175.00	$233.26
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $274.69 / $274.69 / $274.69	Professional		$274.69	$274.69	$274.69
United Facility/Professional Facility Modifier Low / Median / High Price $300.68 / $300.68 / $353.74	Facility		$300.68	$300.68	$353.74
United Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $134.49 / $199.49	Professional		$88.24	$134.49	$199.49