Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.30 / $53.30 / $53.30	Facility		$53.30	$53.30	$53.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $53.30 / $72.34	Professional		$41.73	$53.30	$72.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $76.72 / $76.72	Professional		$65.20	$76.72	$76.72
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 $82.79 / $109.58 / $121.75	Professional		$82.79	$109.58	$121.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $103.30 / $105.92	Facility		$95.90	$103.30	$105.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.30 / $103.30 / $132.40	Professional		$103.30	$103.30	$132.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $61.21 / $76.72	Facility		$60.32	$61.21	$76.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $61.21 / $74.92	Professional		$44.68	$61.21	$74.92
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $88.23 / $88.23	Professional		$74.98	$88.23	$88.23
United Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $108.68 / $127.86	Facility		$108.68	$108.68	$127.86
United Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $47.63 / $67.69	Professional		$31.89	$47.63	$67.69