Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.17 / $382.17 / $382.17	Facility		$382.17	$382.17	$382.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.94 / $382.17 / $382.17	Professional		$250.94	$382.17	$382.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $550.07 / $550.07 / $550.07	Professional		$550.07	$550.07	$550.07
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 $593.58 / $785.62 / $872.91	Professional		$593.58	$785.62	$872.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $585.94 / $585.94 / $585.94	Facility		$585.94	$585.94	$585.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $585.94 / $585.94 / $585.94	Professional		$585.94	$585.94	$585.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $550.07	Facility		$379.03	$379.03	$550.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $276.69 / $516.71	Professional		$276.69	$276.69	$516.71
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $632.58 / $632.58 / $632.58	Professional		$632.58	$632.58	$632.58
United Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $343.03 / $450.45	Professional		$194.88	$343.03	$450.45