Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.69 / $1,277.00 / $3,344.67	Facility		$366.69	$1,277.00	$3,344.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.35 / $486.75 / $760.28	Professional		$268.35	$486.75	$760.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.57 / $457.93 / $871.96	Professional		$216.57	$457.93	$871.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,458.96 / $1,458.96 / $1,750.75	Facility		$1,458.96	$1,458.96	$1,750.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.31 / $460.75 / $817.99	Professional		$313.31	$460.75	$817.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $349.35 / $379.71 / $1,128.33	Facility		$349.35	$379.71	$1,128.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $640.79 / $640.79 / $666.42	Professional		$640.79	$640.79	$666.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,719.70 / $1,719.70 / $1,719.70	Facility		$1,719.70	$1,719.70	$1,719.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.31 / $500.02 / $955.77	Professional		$365.31	$500.02	$955.77
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $249.06 / $559.54 / $1,002.75	Professional		$249.06	$559.54	$1,002.75
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,229.00 / $2,539.00	Facility		$590.00	$1,229.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.39 / $671.69 / $1,050.49	Professional		$476.39	$671.69	$1,050.49