Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.30 / $53.30 / $53.30	Facility		$53.30	$53.30	$53.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $53.30 / $57.60	Professional		$39.72	$53.30	$57.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $76.72 / $76.72	Professional		$40.00	$76.72	$76.72
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 $82.79 / $109.58 / $121.75	Professional		$82.79	$109.58	$121.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $95.90 / $103.30	Facility		$95.90	$95.90	$103.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.30 / $103.30 / $103.30	Professional		$103.30	$103.30	$103.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $76.72	Facility		$59.92	$59.92	$76.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $43.74 / $72.06	Professional		$43.74	$43.74	$72.06
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $88.23 / $134.55	Professional		$46.00	$88.23	$134.55
United Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $44.59 / $60.70	Professional		$27.96	$44.59	$60.70