Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.06 / $145.06 / $145.06	Facility		$145.06	$145.06	$145.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.09 / $145.06 / $145.06	Professional		$86.09	$145.06	$145.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.78 / $208.78 / $208.78	Professional		$208.78	$208.78	$208.78
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 $225.30 / $298.19 / $331.32	Professional		$225.30	$298.19	$331.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.99 / $200.99 / $228.41	Facility		$200.99	$200.99	$228.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.41 / $228.41 / $228.41	Professional		$228.41	$228.41	$228.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $208.78	Facility		$122.31	$122.31	$208.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $203.89	Professional		$89.29	$122.31	$203.89
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $240.10 / $240.10 / $240.10	Professional		$240.10	$240.10	$240.10
United Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $129.04 / $156.90	Professional		$65.09	$129.04	$156.90