Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.44 / $53.44 / $53.44	Facility		$53.44	$53.44	$53.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $53.44 / $53.44	Professional		$18.16	$53.44	$53.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $53.06	Professional		$42.16	$42.16	$53.06
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 $57.26 / $75.79 / $84.21	Professional		$57.26	$75.79	$84.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.33 / $66.33 / $66.33	Facility		$66.33	$66.33	$66.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $66.33 / $66.33	Professional		$66.33	$66.33	$66.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $39.86 / $49.23	Facility		$33.65	$39.86	$49.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $39.86 / $49.23	Professional		$33.65	$39.86	$49.23
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $48.48 / $61.02	Professional		$48.48	$48.48	$61.02
United Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $30.86 / $41.95	Professional		$18.76	$30.86	$41.95