Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.68 / $282.68 / $282.68	Facility		$282.68	$282.68	$282.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $282.68 / $282.68	Professional		$163.36	$282.68	$282.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $406.86 / $406.86 / $406.86	Professional		$406.86	$406.86	$406.86
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 $439.04 / $581.09 / $645.65	Professional		$439.04	$581.09	$645.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $381.43 / $381.43 / $494.32	Facility		$381.43	$381.43	$494.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $494.32 / $494.32 / $494.32	Professional		$494.32	$494.32	$494.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $406.86	Facility		$248.05	$248.05	$406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $248.05 / $397.32	Professional		$181.08	$248.05	$397.32
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $467.89 / $467.89 / $467.89	Professional		$467.89	$467.89	$467.89
United Facility/Professional Professional Modifier Low / Median / High Price $158.58 / $251.46 / $303.11	Professional		$158.58	$251.46	$303.11