Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $80.59 / $80.59	Facility		$80.59	$80.59	$80.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $80.59 / $80.59	Professional		$46.70	$80.59	$80.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $115.99 / $115.99	Professional		$115.99	$115.99	$115.99
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 $120.24 / $159.15 / $176.83	Professional		$120.24	$159.15	$176.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.99 / $144.99 / $175.90	Facility		$144.99	$144.99	$175.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.99 / $144.99 / $144.99	Professional		$144.99	$144.99	$144.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.99 / $126.59 / $128.85	Facility		$115.99	$126.59	$128.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $113.27 / $128.85	Professional		$87.17	$113.27	$128.85
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $133.38 / $133.38	Professional		$133.38	$133.38	$133.38
United Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $72.34 / $108.98	Professional		$48.22	$72.34	$108.98