Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.85 / $285.85 / $285.85	Facility		$285.85	$285.85	$285.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.08 / $285.85 / $285.85	Professional		$184.08	$285.85	$285.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $411.42 / $411.42 / $411.42	Professional		$411.42	$411.42	$411.42
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 $443.97 / $587.61 / $652.90	Professional		$443.97	$587.61	$652.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $423.00 / $423.00 / $455.33	Facility		$423.00	$423.00	$455.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $423.00 / $423.00 / $423.00	Professional		$423.00	$423.00	$423.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $411.42	Facility		$293.77	$293.77	$411.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $293.77 / $401.78	Professional		$214.45	$293.77	$401.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $473.13 / $473.13 / $473.13	Professional		$473.13	$473.13	$473.13
United Facility/Professional Facility Modifier Low / Median / High Price $479.40 / $479.40 / $564.00	Facility		$479.40	$479.40	$564.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $256.57 / $325.19	Professional		$140.69	$256.57	$325.19