Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.74 / $130.74 / $404.84	Facility		$130.74	$130.74	$404.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $130.74 / $209.35	Professional		$99.37	$130.74	$209.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.17 / $188.17 / $188.17	Professional		$188.17	$188.17	$188.17
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 $203.05 / $268.75 / $298.61	Professional		$203.05	$268.75	$298.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.32 / $228.32 / $235.22	Facility		$228.32	$228.32	$235.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.32 / $228.32 / $228.32	Professional		$228.32	$228.32	$228.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $188.17	Facility		$130.59	$130.59	$188.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $130.59 / $183.76	Professional		$95.33	$130.59	$183.76
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $216.40 / $216.40 / $216.40	Professional		$216.40	$216.40	$216.40
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $105.96 / $141.74	Professional		$69.51	$105.96	$141.74