Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.29 / $111.29 / $111.29	Facility		$111.29	$111.29	$111.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $111.29 / $111.29	Professional		$84.59	$111.29	$111.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $160.19 / $160.19	Professional		$160.19	$160.19	$160.19
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 $172.86 / $228.78 / $254.20	Professional		$172.86	$228.78	$254.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.38 / $194.38 / $200.27	Facility		$194.38	$194.38	$200.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.38 / $194.38 / $194.38	Professional		$194.38	$194.38	$194.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $160.18	Facility		$120.62	$120.62	$160.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $120.62 / $156.43	Professional		$88.05	$120.62	$156.43
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $184.22 / $184.22 / $184.22	Professional		$184.22	$184.22	$184.22
United Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $99.89 / $133.79	Professional		$59.18	$99.89	$133.79