Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.37 / $173.38 / $173.38	Facility		$173.37	$173.38	$173.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.83 / $173.38 / $224.62	Professional		$140.83	$173.38	$224.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.16 / $249.55 / $249.55	Professional		$187.16	$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 $214.16 / $214.16 / $291.73	Facility		$214.16	$214.16	$291.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $214.16 / $243.70	Professional		$156.34	$214.16	$243.70
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $286.98 / $286.98	Professional		$184.00	$286.98	$286.98
United Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $154.24 / $155.62	Facility		$122.08	$154.24	$155.62
United Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $154.24 / $220.17	Professional		$103.75	$154.24	$220.17