Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.17 / $446.17 / $446.17	Facility		$446.17	$446.17	$446.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $446.17 / $446.17	Professional		$257.83	$446.17	$446.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $642.19 / $642.19 / $642.19	Professional		$642.19	$642.19	$642.19
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 $692.99 / $917.19 / $1,019.10	Professional		$692.99	$917.19	$1,019.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.04 / $602.04 / $602.04	Facility		$602.04	$602.04	$602.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $602.04 / $602.04 / $602.04	Professional		$602.04	$602.04	$602.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $642.19	Facility		$382.03	$382.03	$642.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $627.14	Professional		$278.88	$382.03	$627.14
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $738.52 / $738.52 / $738.52	Professional		$738.52	$738.52	$738.52
United Facility/Professional Professional Modifier Low / Median / High Price $200.24 / $396.90 / $481.64	Professional		$200.24	$396.90	$481.64