Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.38 / $323.38 / $323.38	Facility		$323.38	$323.38	$323.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.87 / $323.38 / $323.38	Professional		$186.87	$323.38	$323.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $465.45 / $465.45 / $465.45	Professional		$465.45	$465.45	$465.45
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 $502.26 / $664.76 / $738.62	Professional		$502.26	$664.76	$738.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.36 / $436.36 / $486.22	Facility		$436.36	$436.36	$486.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $486.22 / $486.22 / $486.22	Professional		$486.22	$486.22	$486.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $465.45	Facility		$311.77	$311.77	$465.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $311.77 / $454.54	Professional		$227.60	$311.77	$454.54
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $535.27 / $535.27 / $535.27	Professional		$535.27	$535.27	$535.27
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $287.66 / $349.09	Professional		$145.13	$287.66	$349.09