Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.42 / $449.42 / $449.42	Facility		$449.42	$449.42	$449.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.91 / $449.42 / $449.42	Professional		$263.91	$449.42	$449.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $646.86 / $646.86 / $646.86	Professional		$646.86	$646.86	$646.86
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 $698.03 / $923.86 / $1,026.51	Professional		$698.03	$923.86	$1,026.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $635.20 / $635.20 / $668.95	Facility		$635.20	$635.20	$668.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $668.95 / $668.95 / $668.95	Professional		$668.95	$668.95	$668.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.90 / $459.90 / $646.86	Facility		$459.90	$459.90	$646.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $335.73 / $607.65	Professional		$335.73	$335.73	$607.65
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $743.89 / $743.89 / $743.89	Professional		$743.89	$743.89	$743.89
United Facility/Professional Professional Modifier Low / Median / High Price $201.70 / $399.79 / $485.15	Professional		$201.70	$399.79	$485.15