Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.22 / $423.22 / $423.22	Facility		$423.22	$423.22	$423.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.02 / $423.22 / $423.22	Professional		$307.02	$423.22	$423.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $609.15 / $609.15 / $609.15	Professional		$609.15	$609.15	$609.15
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 $657.34 / $870.00 / $966.67	Professional		$657.34	$870.00	$966.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $705.49 / $705.49 / $761.49	Facility		$705.49	$705.49	$761.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $705.49 / $705.49 / $705.49	Professional		$705.49	$705.49	$705.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $448.56 / $609.15	Facility		$448.56	$448.56	$609.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $448.56 / $594.87	Professional		$327.45	$448.56	$594.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $700.52 / $700.52 / $700.52	Professional		$700.52	$700.52	$700.52
United Facility/Professional Facility Modifier Low / Median / High Price $470.15 / $470.15 / $470.15	Facility		$470.15	$470.15	$470.15
United Facility/Professional Professional Modifier Low / Median / High Price $234.64 / $379.87 / $542.36	Professional		$234.64	$379.87	$542.36