Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.32 / $339.32 / $339.32	Facility		$339.32	$339.32	$339.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.11 / $339.32 / $339.32	Professional		$224.11	$339.32	$339.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $488.40 / $488.40 / $488.40	Professional		$488.40	$488.40	$488.40
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 $527.03 / $697.55 / $775.05	Professional		$527.03	$697.55	$775.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $523.28 / $523.28 / $523.28	Facility		$523.28	$523.28	$523.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $523.28 / $523.28 / $523.28	Professional		$523.28	$523.28	$523.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $488.40	Facility		$338.50	$338.50	$488.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $338.50 / $476.95	Professional		$247.11	$338.50	$476.95
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $561.66 / $561.66 / $561.66	Professional		$561.66	$561.66	$561.66
United Facility/Professional Professional Modifier Low / Median / High Price $203.04 / $304.57 / $393.34	Professional		$203.04	$304.57	$393.34