Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.01 / $113.01 / $113.01	Facility		$113.01	$113.01	$113.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.87 / $113.01 / $132.06	Professional		$85.87	$113.01	$132.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.66 / $162.66 / $162.66	Professional		$162.66	$162.66	$162.66
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 $175.53 / $232.32 / $258.13	Professional		$175.53	$232.32	$258.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.31 / $203.34 / $203.34	Facility		$197.31	$203.34	$203.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.31 / $197.31 / $264.33	Professional		$197.31	$197.31	$264.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $162.66	Facility		$106.02	$127.07	$162.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $127.07	Professional		$92.76	$92.76	$127.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $187.06 / $187.06 / $187.06	Professional		$187.06	$187.06	$187.06
United Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $96.91 / $142.66	Professional		$63.50	$96.91	$142.66