Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $173.78 / $173.78	Facility		$66.07	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $363.08	Professional		$138.04	$173.78	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $309.03	Professional		$177.83	$239.88	$309.03
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 $269.15 / $269.15 / $354.81	Professional		$269.15	$269.15	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $346.74 / $467.74	Facility		$331.13	$346.74	$467.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $257.04	Facility		$186.21	$194.98	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $194.98	Professional		$131.83	$141.25	$194.98
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $295.12	Professional		$288.40	$288.40	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $363.08 / $426.58	Facility		$154.88	$363.08	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $199.53	Professional		$104.71	$147.91	$199.53