Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.97 / $428.97 / $428.97	Facility		$428.97	$428.97	$428.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.89 / $428.97 / $428.97	Professional		$358.89	$428.97	$428.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $617.41 / $617.41	Professional		$617.41	$617.41	$617.41
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 $666.25 / $881.80 / $979.78	Professional		$666.25	$881.80	$979.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $751.25 / $751.25 / $875.30	Facility		$751.25	$751.25	$875.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $751.25 / $751.25 / $751.25	Professional		$751.25	$751.25	$751.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $617.41	Facility		$488.53	$488.53	$617.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $488.53 / $602.94	Professional		$356.63	$488.53	$602.94
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $710.03 / $710.03 / $710.03	Professional		$710.03	$710.03	$710.03
United Facility/Professional Professional Modifier Low / Median / High Price $243.87 / $359.77 / $755.58	Professional		$243.87	$359.77	$755.58