Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.56 / $383.56 / $383.56	Facility		$383.56	$383.56	$383.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.81 / $383.56 / $383.56	Professional		$259.81	$383.56	$383.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $552.05 / $552.05 / $552.07	Professional		$552.05	$552.05	$552.07
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 $595.73 / $788.47 / $876.08	Professional		$595.73	$788.47	$876.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $597.02 / $597.02 / $690.18	Facility		$597.02	$597.02	$690.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $597.02 / $597.02 / $597.02	Professional		$597.02	$597.02	$597.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $552.05	Facility		$380.63	$380.63	$552.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $539.13	Professional		$277.86	$380.63	$539.13
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $634.87 / $634.87 / $634.88	Professional		$634.87	$634.87	$634.88
United Facility/Professional Professional Modifier Low / Median / High Price $198.56 / $344.27 / $458.97	Professional		$198.56	$344.27	$458.97