Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.07 / $549.07 / $549.07	Facility		$549.07	$549.07	$549.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.66 / $549.07 / $549.07	Professional		$361.66	$549.07	$549.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $790.29 / $790.29 / $790.29	Professional		$790.29	$790.29	$790.29
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 $852.80 / $1,128.71 / $1,254.11	Professional		$852.80	$1,128.71	$1,254.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $810.94 / $810.94 / $908.74	Facility		$810.94	$810.94	$908.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $810.94 / $810.94 / $810.94	Professional		$810.94	$810.94	$810.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $790.29	Facility		$510.00	$510.00	$790.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $510.00 / $771.77	Professional		$372.30	$510.00	$771.77
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $908.83 / $908.83 / $908.83	Professional		$908.83	$908.83	$908.83
United Facility/Professional Professional Modifier Low / Median / High Price $269.47 / $437.89 / $593.90	Professional		$269.47	$437.89	$593.90