Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.33 / $278.33 / $278.33	Facility		$278.33	$278.33	$278.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.57 / $278.33 / $425.71	Professional		$211.57	$278.33	$425.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $400.60 / $400.60 / $400.60	Professional		$400.60	$400.60	$400.60
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 $432.28 / $572.14 / $635.71	Professional		$432.28	$572.14	$635.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $486.17 / $486.17 / $500.78	Facility		$486.17	$486.17	$500.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $486.17 / $486.17 / $486.17	Professional		$486.17	$486.17	$486.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $400.60	Facility		$278.04	$278.04	$400.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $278.04 / $391.21	Professional		$202.97	$278.04	$391.21
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $460.69 / $460.69 / $460.69	Professional		$460.69	$460.69	$460.69
United Facility/Professional Facility Modifier Low / Median / High Price $171.04 / $220.01 / $221.99	Facility		$171.04	$220.01	$221.99
United Facility/Professional Professional Modifier Low / Median / High Price $147.99 / $225.56 / $348.98	Professional		$147.99	$225.56	$348.98