Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.61 / $84.61 / $84.61	Facility		$84.61	$84.61	$84.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $84.61 / $84.61	Professional		$64.31	$84.61	$84.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $121.79 / $121.79	Professional		$121.79	$121.79	$121.79
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 $131.41 / $173.93 / $193.26	Professional		$131.41	$173.93	$193.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.81 / $147.81 / $152.24	Facility		$147.81	$147.81	$152.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.81 / $147.81 / $147.81	Professional		$147.81	$147.81	$147.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $121.78	Facility		$98.15	$98.15	$121.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $98.15 / $118.93	Professional		$71.65	$98.15	$118.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $140.06 / $140.06	Professional		$140.06	$140.06	$140.06
United Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $75.94 / $101.68	Professional		$44.99	$75.94	$101.68