Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $13.87 / $13.87	Facility		$13.87	$13.87	$13.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $13.87 / $13.87	Professional		$11.78	$13.87	$13.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $19.96 / $19.96	Professional		$19.96	$19.96	$19.96
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 $21.54 / $28.51 / $31.68	Professional		$21.54	$28.51	$31.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $24.59 / $30.07	Facility		$24.59	$24.59	$30.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $24.59 / $24.59	Professional		$24.59	$24.59	$24.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $19.96	Facility		$16.29	$16.29	$19.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $18.76	Professional		$11.89	$11.89	$18.76
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Professional		$22.95	$22.95	$22.95
United Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $26.45 / $31.12	Facility		$26.45	$26.45	$31.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.45 / $17.95	Professional		$7.76	$12.45	$17.95