Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.53 / $222.53 / $222.53	Facility		$222.53	$222.53	$222.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $222.53 / $222.53	Professional		$125.60	$222.53	$222.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $320.30 / $320.30 / $320.30	Professional		$320.30	$320.30	$320.30
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 $345.64 / $457.46 / $508.29	Professional		$345.64	$457.46	$508.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $388.65 / $388.65 / $395.80	Facility		$388.65	$388.65	$395.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $388.65 / $388.65 / $388.65	Professional		$388.65	$388.65	$388.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $320.30	Facility		$296.00	$296.00	$320.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $296.00 / $312.79	Professional		$216.08	$296.00	$312.79
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $368.35 / $368.35 / $368.35	Professional		$368.35	$368.35	$368.35
United Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $199.74 / $307.75	Professional		$125.94	$199.74	$307.75