Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.95 / $256.95 / $256.95	Facility		$256.95	$256.95	$256.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $256.95 / $256.95	Professional		$148.50	$256.95	$256.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.85 / $369.85 / $369.85	Professional		$369.85	$369.85	$369.85
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 $399.11 / $528.23 / $586.91	Professional		$399.11	$528.23	$586.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $408.51	Facility		$346.74	$346.74	$408.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $408.51 / $408.51 / $408.51	Professional		$408.51	$408.51	$408.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $369.85	Facility		$232.98	$232.98	$369.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $232.98 / $361.18	Professional		$170.08	$232.98	$361.18
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $425.33 / $425.33 / $425.33	Professional		$425.33	$425.33	$425.33
United Facility/Professional Professional Modifier Low / Median / High Price $144.15 / $228.58 / $308.91	Professional		$144.15	$228.58	$308.91