Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $338.84	Professional		$114.82	$208.93	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,570.40	Facility		$1,905.46	$1,905.46	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $316.23	Professional		$131.83	$173.78	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $512.86	Professional		$281.84	$281.84	$512.86
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $416.87	Professional		$213.80	$251.19	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $380.19	Professional		$125.89	$223.87	$380.19