Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.14 / $322.14 / $322.14	Facility		$322.14	$322.14	$322.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.16 / $322.14 / $322.14	Professional		$186.16	$322.14	$322.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $463.68 / $463.68 / $463.68	Professional		$463.68	$463.68	$463.68
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 $500.35 / $662.23 / $735.81	Professional		$500.35	$662.23	$735.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $434.70 / $434.70 / $437.78	Facility		$434.70	$434.70	$437.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $437.78 / $437.78 / $437.78	Professional		$437.78	$437.78	$437.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.20 / $281.20 / $463.68	Facility		$281.20	$281.20	$463.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $281.20 / $452.81	Professional		$205.28	$281.20	$452.81
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $533.23 / $533.23 / $533.23	Professional		$533.23	$533.23	$533.23
United Facility/Professional Professional Modifier Low / Median / High Price $144.58 / $286.58 / $347.76	Professional		$144.58	$286.58	$347.76