Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $51.23	Facility		$51.23	$51.23	$51.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $51.23 / $51.23	Professional		$31.40	$51.23	$51.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $73.73 / $73.73	Professional		$73.73	$73.73	$73.73
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 $79.56 / $105.31 / $117.01	Professional		$79.56	$105.31	$117.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $73.31 / $73.31	Facility		$73.31	$73.31	$73.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $73.31	Professional		$73.31	$73.31	$73.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $73.73	Facility		$45.81	$45.81	$73.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $45.81 / $72.01	Professional		$33.44	$45.81	$72.01
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $84.80 / $84.80	Professional		$84.80	$84.80	$84.80
United Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $45.98 / $56.36	Professional		$24.38	$45.98	$56.36