Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.66 / $530.66 / $530.66	Facility		$530.66	$530.66	$530.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.88 / $530.66 / $530.66	Professional		$408.88	$530.66	$530.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $763.80 / $763.80 / $763.80	Professional		$763.80	$763.80	$763.80
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 $824.21 / $1,090.86 / $1,212.08	Professional		$824.21	$1,090.86	$1,212.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.75 / $954.75 / $954.75	Facility		$954.75	$954.75	$954.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.75 / $954.75 / $954.75	Professional		$954.75	$954.75	$954.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $763.80	Facility		$596.58	$596.58	$763.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $717.49	Professional		$435.50	$435.50	$717.49
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $878.37 / $878.37 / $878.37	Professional		$878.37	$878.37	$878.37
United Facility/Professional Facility Modifier Low / Median / High Price $366.99 / $629.41 / $635.08	Facility		$366.99	$629.41	$635.08
United Facility/Professional Professional Modifier Low / Median / High Price $317.54 / $476.31 / $733.98	Professional		$317.54	$476.31	$733.98