Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $5.33 / $5.33	Facility		$5.33	$5.33	$5.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $5.33 / $5.33	Professional		$3.43	$5.33	$5.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $7.69 / $7.69	Professional		$7.69	$7.69	$7.69
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 $8.28 / $10.97 / $12.19	Professional		$8.28	$10.97	$12.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.01 / $8.01 / $8.01	Facility		$8.01	$8.01	$8.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $8.01 / $8.01	Professional		$8.01	$8.01	$8.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.18 / $7.69	Facility		$5.18	$5.18	$7.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $5.18 / $7.50	Professional		$3.78	$5.18	$7.50
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $8.84 / $8.84	Professional		$8.84	$8.84	$8.84
United Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $4.79 / $6.16	Professional		$2.66	$4.79	$6.16