Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.39 / $362.39 / $362.39	Facility		$362.39	$362.39	$362.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.43 / $362.39 / $362.39	Professional		$210.43	$362.39	$362.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $521.58 / $521.58 / $521.58	Professional		$521.58	$521.58	$521.58
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 $562.84 / $744.94 / $827.71	Professional		$562.84	$744.94	$827.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $491.36 / $491.36 / $515.16	Facility		$491.36	$491.36	$515.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $515.16 / $515.16 / $515.16	Professional		$515.16	$515.16	$515.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $521.58	Facility		$305.54	$305.54	$521.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $305.54 / $509.36	Professional		$223.04	$305.54	$509.36
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $599.82 / $599.82 / $599.82	Professional		$599.82	$599.82	$599.82
United Facility/Professional Facility Modifier Low / Median / High Price $244.40 / $244.40 / $244.40	Facility		$244.40	$244.40	$244.40
United Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $322.37 / $391.98	Professional		$162.63	$322.37	$391.98