Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.36 / $241.36 / $241.36	Facility		$241.36	$241.36	$241.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $241.36 / $241.36	Professional		$139.47	$241.36	$241.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $347.40 / $347.40 / $347.40	Professional		$347.40	$347.40	$347.40
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 $374.88 / $496.16 / $551.29	Professional		$374.88	$496.16	$551.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $325.69 / $325.69 / $371.19	Facility		$325.69	$325.69	$371.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.19 / $371.19 / $371.19	Professional		$371.19	$371.19	$371.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $347.40	Facility		$203.51	$203.51	$347.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $203.51 / $339.26	Professional		$148.56	$203.51	$339.26
United Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $214.70 / $261.07	Professional		$108.32	$214.70	$261.07