Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.37 / $533.37 / $533.37	Facility		$533.37	$533.37	$533.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.13 / $533.37 / $533.37	Professional		$410.13	$533.37	$533.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $767.69 / $767.69	Professional		$1.23	$767.69	$767.69
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 $828.42 / $1,096.43 / $1,218.26	Professional		$828.42	$1,096.43	$1,218.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $957.66 / $957.66 / $957.66	Facility		$957.66	$957.66	$957.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $957.66 / $957.66 / $957.66	Professional		$957.66	$957.66	$957.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $694.09 / $767.69	Facility		$694.09	$694.09	$767.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $694.09 / $749.70	Professional		$506.69	$694.09	$749.70
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $882.84	Professional		$1.41	$1.41	$882.84
United Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $478.74 / $727.79	Professional		$318.51	$478.74	$727.79