Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $177.83	Professional		$83.18	$112.20	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $165.96	Professional		$114.82	$154.88	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218,776.16 / $524,807.46 / $954,992.59	Facility		$218,776.16	$524,807.46	$954,992.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $234.42	Professional		$173.78	$173.78	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $204.17 / $281.84	Facility		$199.53	$204.17	$281.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $165.96	Facility		$107.15	$125.89	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $125.89	Professional		$93.33	$93.33	$125.89
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $302.00	Professional		$158.49	$186.21	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $208.93 / $245.47	Facility		$89.13	$208.93	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $125.89	Professional		$60.26	$95.50	$125.89