Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.51 / $448.51 / $448.51	Facility		$448.51	$448.51	$448.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.82 / $448.51 / $448.51	Professional		$292.82	$448.51	$448.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $645.54 / $645.54 / $645.54	Professional		$645.54	$645.54	$645.54
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 $696.60 / $921.97 / $1,024.41	Professional		$696.60	$921.97	$1,024.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $683.74 / $683.74 / $687.71	Facility		$683.74	$683.74	$687.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $687.71 / $687.71 / $687.71	Professional		$687.71	$687.71	$687.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $645.54	Facility		$427.25	$427.25	$645.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $427.25 / $630.41	Professional		$311.89	$427.25	$630.41
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $742.37 / $742.37 / $742.37	Professional		$742.37	$742.37	$742.37
United Facility/Professional Professional Modifier Low / Median / High Price $227.41 / $402.56 / $525.65	Professional		$227.41	$402.56	$525.65