Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.03 / $25.03 / $25.03	Facility		$25.03	$25.03	$25.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $25.03 / $25.03	Professional		$14.53	$25.03	$25.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $36.02 / $36.02	Professional		$36.02	$36.02	$36.02
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 $38.86 / $51.44 / $57.15	Professional		$38.86	$51.44	$57.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $52.79 / $52.79	Facility		$43.82	$52.79	$52.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $43.82 / $68.63	Professional		$43.82	$43.82	$68.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $35.00 / $36.02	Facility		$29.97	$35.00	$36.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $33.84 / $35.17	Professional		$25.55	$33.84	$35.17
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $41.42 / $41.42	Professional		$41.42	$41.42	$41.42
United Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $22.46 / $39.22	Professional		$14.98	$22.46	$39.22