Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.93 / $106.74 / $123.71	Facility		$91.93	$106.74	$123.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $106.73 / $112.75	Professional		$56.60	$106.73	$112.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $153.63 / $153.63	Professional		$95.00	$153.63	$153.63
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 $165.78 / $219.42 / $243.80	Professional		$165.78	$219.42	$243.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.43 / $186.43 / $192.05	Facility		$186.43	$186.43	$192.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $186.43 / $186.43	Professional		$186.43	$186.43	$186.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $153.63	Facility		$106.63	$106.63	$153.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $106.63 / $150.03	Professional		$77.84	$106.63	$150.03
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $109.25 / $176.67 / $176.67	Professional		$109.25	$176.67	$176.67
United Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $86.51 / $115.73	Professional		$56.76	$86.51	$115.73