Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.57 / $57.57 / $57.57	Facility		$57.57	$57.57	$57.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $57.57 / $60.49	Professional		$33.40	$57.57	$60.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $82.86 / $82.86	Professional		$70.43	$82.86	$82.86
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 $89.41 / $118.33 / $131.47	Professional		$89.41	$118.33	$131.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.76 / $118.46 / $118.46	Facility		$112.76	$118.46	$118.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $112.76 / $154.00	Professional		$112.76	$112.76	$154.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $82.86	Facility		$68.22	$68.22	$82.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $68.22 / $80.91	Professional		$49.80	$68.22	$80.91
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $95.29 / $95.29	Professional		$80.98	$95.29	$95.29
United Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $48.18 / $67.73	Professional		$33.50	$48.18	$67.73