Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $100.00	Professional		$45.71	$61.66	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $87.10 / $93.33	Professional		$45.71	$87.10	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218,776.16 / $524,807.46 / $954,992.59	Facility		$218,776.16	$524,807.46	$954,992.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $128.82	Professional		$97.72	$97.72	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $158.49	Facility		$112.20	$112.20	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $93.33	Facility		$70.79	$70.79	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $74.13	Professional		$51.29	$51.29	$74.13
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $104.71 / $107.15	Professional		$40.74	$104.71	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $131.83 / $154.88	Facility		$52.48	$131.83	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $72.44	Professional		$38.02	$53.70	$72.44