Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.70 / $325.70 / $325.70	Facility		$325.70	$325.70	$325.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.81 / $325.70 / $325.70	Professional		$242.81	$325.70	$325.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $468.80 / $468.80 / $468.80	Professional		$468.80	$468.80	$468.80
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 $505.89 / $669.56 / $743.95	Professional		$505.89	$669.56	$743.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $568.90 / $568.90 / $586.05	Facility		$568.90	$568.90	$586.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $568.90 / $568.90 / $568.90	Professional		$568.90	$568.90	$568.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $468.80	Facility		$325.37	$325.37	$468.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $325.37	Professional		$237.52	$237.52	$325.37
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $539.12 / $539.12 / $539.12	Professional		$539.12	$539.12	$539.12
United Facility/Professional Professional Modifier Low / Median / High Price $183.39 / $275.18 / $458.64	Professional		$183.39	$275.18	$458.64