Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.12 / $26.12 / $26.12	Facility		$26.12	$26.12	$26.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $26.12 / $26.12	Professional		$15.63	$26.12	$26.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $37.60	Professional		$37.60	$37.60	$37.60
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 $40.58 / $53.70 / $59.67	Professional		$40.58	$53.70	$59.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $39.32	Facility		$37.70	$37.70	$39.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $39.32 / $39.32	Professional		$39.32	$39.32	$39.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $29.97 / $37.60	Facility		$29.97	$29.97	$37.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $35.33	Professional		$21.88	$21.88	$35.33
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $43.24 / $43.24	Professional		$43.24	$43.24	$43.24
United Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $19.48 / $28.26	Professional		$11.99	$19.48	$28.26