Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.55 / $175.57 / $254.55	Facility		$168.55	$175.57	$254.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $254.55 / $899.00	Professional		$174.45	$254.55	$899.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $366.37 / $366.37 / $366.37	Professional		$366.37	$366.37	$366.37
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 $395.35 / $523.26 / $581.40	Professional		$395.35	$523.26	$581.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $411.55 / $411.55 / $421.06	Facility		$411.55	$411.55	$421.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $411.55 / $411.55 / $411.55	Professional		$411.55	$411.55	$411.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $264.44 / $366.37	Facility		$261.02	$264.44	$366.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $264.44 / $357.78	Professional		$193.04	$264.44	$357.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $421.33 / $421.33 / $421.33	Professional		$421.33	$421.33	$421.33
United Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $206.29 / $276.79	Professional		$136.88	$206.29	$276.79