Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.33 / $98.33 / $98.33	Facility		$98.33	$98.33	$98.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $98.33 / $98.33	Professional		$54.97	$98.33	$98.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.52 / $141.52 / $141.52	Professional		$141.52	$141.52	$141.52
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 $152.72 / $202.13 / $224.59	Professional		$152.72	$202.13	$224.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.68 / $132.68 / $132.68	Facility		$132.68	$132.68	$132.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $132.68 / $132.68	Professional		$132.68	$132.68	$132.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $141.52	Facility		$106.22	$106.22	$141.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $106.22 / $138.21	Professional		$77.54	$106.22	$138.21
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $162.75 / $162.75 / $162.75	Professional		$162.75	$162.75	$162.75
United Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $65.59 / $66.19	Facility		$65.59	$65.59	$66.19
United Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $73.48 / $106.35	Professional		$44.13	$73.48	$106.35