Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.82 / $390.82 / $390.82	Facility		$390.82	$390.82	$390.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.85 / $390.82 / $390.82	Professional		$225.85	$390.82	$390.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.52 / $562.52 / $562.52	Professional		$562.52	$562.52	$562.52
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 $607.02 / $803.40 / $892.67	Professional		$607.02	$803.40	$892.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $527.36 / $527.36 / $644.15	Facility		$527.36	$527.36	$644.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $644.15 / $644.15 / $644.15	Professional		$644.15	$644.15	$644.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $329.53 / $562.52	Facility		$329.53	$329.53	$562.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $329.53 / $549.34	Professional		$240.56	$329.53	$549.34
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $646.90 / $646.90 / $646.90	Professional		$646.90	$646.90	$646.90
United Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $347.66 / $421.89	Professional		$175.40	$347.66	$421.89