Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Facility		$35.90	$35.90	$35.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $35.90 / $35.90	Professional		$24.74	$35.90	$35.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $51.69 / $51.69	Professional		$51.69	$51.69	$51.69
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 $55.78 / $73.83 / $82.03	Professional		$55.78	$73.83	$82.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $57.77 / $57.77	Facility		$57.77	$57.77	$57.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $57.77 / $57.77	Professional		$57.77	$57.77	$57.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $51.69	Facility		$37.36	$37.36	$51.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $37.36 / $50.48	Professional		$27.27	$37.36	$50.48
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $59.44 / $59.44	Professional		$59.44	$59.44	$59.44
United Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $32.22 / $44.41	Professional		$19.21	$32.22	$44.41