Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.73 / $106.74 / $228.80	Facility		$106.73	$106.74	$228.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $106.74 / $155.10	Professional		$72.00	$106.74	$155.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.59 / $153.63 / $153.63	Professional		$130.59	$153.63	$153.63
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 $165.78 / $219.42 / $243.80	Professional		$165.78	$219.42	$243.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.43 / $192.05 / $192.05	Facility		$186.43	$192.05	$192.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $186.43 / $249.67	Professional		$186.43	$186.43	$249.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $153.63	Facility		$118.47	$120.81	$153.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $120.81 / $150.03	Professional		$88.19	$120.81	$150.03
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $176.67 / $176.67	Professional		$150.18	$176.67	$176.67
United Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $90.19 / $142.47	Professional		$56.76	$90.19	$142.47