Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.75 / $276.75 / $276.75	Facility		$276.75	$276.75	$276.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.32 / $276.75 / $276.75	Professional		$206.32	$276.75	$276.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.34 / $398.34 / $398.34	Professional		$398.34	$398.34	$398.34
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 $429.85 / $568.91 / $632.13	Professional		$429.85	$568.91	$632.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $483.41 / $483.41 / $497.97	Facility		$483.41	$483.41	$497.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $483.41 / $483.41 / $483.41	Professional		$483.41	$483.41	$483.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $312.81 / $398.34	Facility		$312.81	$312.81	$398.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $312.81 / $389.00	Professional		$228.35	$312.81	$389.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $458.09 / $458.09 / $458.09	Professional		$458.09	$458.09	$458.09
United Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $224.29 / $300.01	Professional		$147.19	$224.29	$300.01