Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.27 / $407.27 / $407.27	Facility		$407.27	$407.27	$407.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.85 / $407.27 / $407.27	Professional		$290.85	$407.27	$407.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $586.17 / $586.17 / $586.17	Professional		$586.17	$586.17	$586.17
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 $632.54 / $837.20 / $930.22	Professional		$632.54	$837.20	$930.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $702.69 / $702.69 / $711.17	Facility		$702.69	$702.69	$711.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $702.69 / $702.69 / $702.69	Professional		$702.69	$702.69	$702.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $586.17	Facility		$440.05	$440.05	$586.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $440.05 / $572.44	Professional		$321.24	$440.05	$572.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $674.11 / $674.11 / $674.11	Professional		$674.11	$674.11	$674.11
United Facility/Professional Professional Modifier Low / Median / High Price $222.28 / $365.55 / $513.79	Professional		$222.28	$365.55	$513.79