Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.85 / $163.85 / $163.85	Facility		$163.85	$163.85	$163.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.14 / $163.85 / $171.04	Professional		$122.14	$163.85	$171.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.83 / $235.83 / $235.83	Professional		$235.83	$235.83	$235.83
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 $254.48 / $336.81 / $374.23	Professional		$254.48	$336.81	$374.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.77 / $294.77 / $294.77	Facility		$294.77	$294.77	$294.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.77 / $294.77 / $294.77	Professional		$294.77	$294.77	$294.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $235.82	Facility		$190.69	$190.69	$235.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $190.69 / $230.30	Professional		$139.19	$190.69	$230.30
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $271.20 / $271.20	Professional		$271.20	$271.20	$271.20
United Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $145.75 / $198.25	Professional		$98.04	$145.75	$198.25