Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $27.41 / $27.41	Facility		$27.41	$27.41	$27.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $27.41 / $27.41	Professional		$20.43	$27.41	$27.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $39.46 / $39.46	Professional		$39.46	$39.46	$39.46
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 $42.57 / $56.35 / $62.61	Professional		$42.57	$56.35	$62.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $47.87 / $49.32	Facility		$47.87	$47.87	$49.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $47.87 / $47.87	Professional		$47.87	$47.87	$47.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $33.72 / $39.46	Facility		$33.72	$33.72	$39.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $33.72 / $38.53	Professional		$24.62	$33.72	$38.53
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $45.38 / $45.38	Professional		$45.38	$45.38	$45.38
United Facility/Professional Facility Modifier Low / Median / High Price $49.65 / $49.65 / $58.41	Facility		$49.65	$49.65	$58.41
United Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $22.22 / $31.99	Professional		$14.57	$22.22	$31.99