Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.29 / $247.29 / $247.29	Facility		$247.29	$247.29	$247.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $247.29 / $247.29	Professional		$142.91	$247.29	$247.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $355.93 / $355.93 / $355.93	Professional		$355.93	$355.93	$355.93
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 $384.09 / $508.36 / $564.84	Professional		$384.09	$508.36	$564.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $333.68 / $333.68 / $333.68	Facility		$333.68	$333.68	$333.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $333.68 / $333.68 / $333.68	Professional		$333.68	$333.68	$333.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $355.93	Facility		$209.59	$209.59	$355.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $209.59 / $347.59	Professional		$153.00	$209.59	$347.59
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $409.32 / $409.32 / $409.32	Professional		$409.32	$409.32	$409.32
United Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $219.98 / $221.96	Facility		$128.27	$219.98	$221.96
United Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $219.98 / $266.95	Professional		$110.98	$219.98	$266.95