Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $15.23 / $15.23	Facility		$15.23	$15.23	$15.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $15.23 / $23.06	Professional		$15.23	$15.23	$23.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $31.68 / $31.68	Professional		$31.68	$31.68	$31.68
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 $14.28 / $18.89 / $21.00	Professional		$14.28	$18.89	$21.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $39.60 / $39.60	Facility		$39.60	$39.60	$39.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.60 / $39.60	Professional		$39.60	$39.60	$39.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.22 / $22.22	Professional		$16.22	$22.22	$22.22
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $36.43 / $36.43	Professional		$36.43	$36.43	$36.43
United Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $19.37 / $28.58	Professional		$12.91	$19.37	$28.58