Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.51 / $586.51 / $586.51	Facility		$586.51	$586.51	$586.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.11 / $586.51 / $595.54	Professional		$470.11	$586.51	$595.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $844.18 / $844.18 / $844.18	Professional		$844.18	$844.18	$844.18
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 $910.96 / $1,205.68 / $1,339.64	Professional		$910.96	$1,205.68	$1,339.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,094.98 / $1,094.98 / $1,134.65	Facility		$1,094.98	$1,094.98	$1,134.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,094.98 / $1,094.98	Professional		$1,094.98	$1,094.98	$1,094.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $844.18	Facility		$632.51	$632.51	$844.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $632.51 / $824.39	Professional		$461.73	$632.51	$824.39
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $970.81 / $970.81 / $970.81	Professional		$970.81	$970.81	$970.81
United Facility/Professional Professional Modifier Low / Median / High Price $306.26 / $475.33 / $634.40	Professional		$306.26	$475.33	$634.40