Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.98 / $173.38 / $173.38	Facility		$65.98	$173.38	$173.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $173.38 / $187.34	Professional		$137.32	$173.38	$187.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $249.55 / $249.55 / $249.55	Professional		$249.55	$249.55	$249.55
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 $269.29 / $356.42 / $396.02	Professional		$269.29	$356.42	$396.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $311.94 / $331.43 / $346.66	Facility		$311.94	$331.43	$346.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.66 / $346.66 / $430.86	Professional		$346.66	$346.66	$430.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $249.55	Facility		$184.69	$194.92	$249.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $194.92 / $243.70	Professional		$142.29	$194.92	$243.70
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $286.98 / $286.98 / $286.98	Professional		$286.98	$286.98	$286.98
United Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $154.24 / $208.43	Professional		$103.75	$154.24	$208.43