Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.79 / $113.79 / $113.79	Facility		$113.79	$113.79	$113.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $113.79 / $113.79	Professional		$65.76	$113.79	$113.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $163.77 / $163.77	Professional		$163.77	$163.77	$163.77
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 $176.73 / $233.91 / $259.89	Professional		$176.73	$233.91	$259.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.54 / $153.54 / $159.41	Facility		$153.54	$153.54	$159.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.41 / $159.41 / $159.41	Professional		$159.41	$159.41	$159.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $163.77	Facility		$99.32	$99.32	$163.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $99.32 / $159.94	Professional		$72.50	$99.32	$159.94
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $188.34 / $188.34 / $188.34	Professional		$188.34	$188.34	$188.34
United Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $100.00 / $136.79	Professional		$63.84	$100.00	$136.79