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 $11.75 / $15.23 / $15.23	Professional		$11.75	$15.23	$15.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $21.92 / $21.92	Professional		$21.92	$21.92	$21.92
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 $23.66 / $31.31 / $34.79	Professional		$23.66	$31.31	$34.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.57 / $26.57 / $33.09	Facility		$26.57	$26.57	$33.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $26.57 / $26.57	Professional		$26.57	$26.57	$26.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $21.92	Facility		$18.44	$18.44	$21.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $18.44 / $21.41	Professional		$13.46	$18.44	$21.41
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $25.21 / $25.21	Professional		$25.21	$25.21	$25.21
United Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $13.67 / $20.43	Professional		$8.84	$13.67	$20.43