Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.39 / $86.39 / $86.39	Facility		$86.39	$86.39	$86.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $86.39 / $86.39	Professional		$65.68	$86.39	$86.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.34 / $124.34 / $124.34	Professional		$124.34	$124.34	$124.34
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 $134.16 / $177.58 / $197.31	Professional		$134.16	$177.58	$197.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.91 / $150.91 / $155.46	Facility		$150.91	$150.91	$155.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $150.91 / $150.91	Professional		$150.91	$150.91	$150.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $124.34	Facility		$100.03	$100.03	$124.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $100.03 / $121.42	Professional		$73.02	$100.03	$121.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $142.99 / $142.99	Professional		$142.99	$142.99	$142.99
United Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $77.54 / $103.86	Professional		$45.94	$77.54	$103.86