Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.88 / $298.88 / $298.88	Facility		$298.88	$298.88	$298.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.51 / $298.88 / $298.88	Professional		$175.51	$298.88	$298.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $430.18 / $430.18 / $430.18	Professional		$430.18	$430.18	$430.18
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 $464.21 / $614.39 / $682.66	Professional		$464.21	$614.39	$682.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $403.29 / $403.29 / $537.72	Facility		$403.29	$403.29	$537.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $403.29 / $403.29 / $403.29	Professional		$403.29	$403.29	$403.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $430.18	Facility		$260.88	$260.88	$430.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $260.88 / $420.10	Professional		$190.44	$260.88	$420.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $494.71 / $494.71 / $494.71	Professional		$494.71	$494.71	$494.71
United Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $268.26 / $323.27	Professional		$134.13	$268.26	$323.27