Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.45 / $21.45 / $21.45	Facility		$21.45	$21.45	$21.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $21.45 / $21.45	Professional		$15.98	$21.45	$21.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $26.23 / $30.86	Professional		$26.23	$26.23	$30.86
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 $33.29 / $44.07 / $48.97	Professional		$33.29	$44.07	$48.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.42 / $37.42 / $38.57	Facility		$37.42	$37.42	$38.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $37.42 / $37.42	Professional		$37.42	$37.42	$37.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $24.80 / $30.86	Facility		$24.80	$24.80	$30.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $24.80 / $30.14	Professional		$18.10	$24.80	$30.14
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $35.49 / $35.49	Professional		$35.49	$35.49	$35.49
United Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $17.94 / $27.61	Professional		$11.59	$17.94	$27.61