Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.55 / $175.80 / $221.46	Facility		$168.55	$175.80	$221.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.64 / $221.46 / $227.90	Professional		$176.64	$221.46	$227.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.74 / $318.74 / $318.74	Professional		$318.74	$318.74	$318.74
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 $343.94 / $455.22 / $505.80	Professional		$343.94	$455.22	$505.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $379.44 / $379.44 / $449.45	Facility		$379.44	$379.44	$449.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $379.44 / $379.44 / $379.44	Professional		$379.44	$379.44	$379.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $318.74	Facility		$225.12	$237.10	$318.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $237.10 / $311.26	Professional		$173.08	$237.10	$311.26
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $366.55 / $366.55 / $366.55	Professional		$366.55	$366.55	$366.55
United Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $187.61 / $255.20	Professional		$126.20	$187.61	$255.20