Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.74 / $488.74 / $488.74	Facility		$488.74	$488.74	$488.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.05 / $488.74 / $488.74	Professional		$266.05	$488.74	$488.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $703.45 / $703.45 / $703.45	Professional		$703.45	$703.45	$703.45
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 $759.09 / $1,004.68 / $1,116.31	Professional		$759.09	$1,004.68	$1,116.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $843.24 / $843.24 / $853.44	Facility		$843.24	$843.24	$853.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $843.24 / $843.24 / $843.24	Professional		$843.24	$843.24	$843.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.15 / $501.15 / $703.45	Facility		$501.15	$501.15	$703.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $501.15 / $686.96	Professional		$365.84	$501.15	$686.96
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $808.97 / $808.97 / $808.97	Professional		$808.97	$808.97	$808.97
United Facility/Professional Professional Modifier Low / Median / High Price $266.75 / $438.68 / $616.57	Professional		$266.75	$438.68	$616.57