Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.47 / $29.47 / $29.47	Facility		$29.47	$29.47	$29.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $29.47 / $29.47	Professional		$26.95	$29.47	$29.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $42.41 / $42.41	Professional		$42.41	$42.41	$42.41
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 $45.76 / $60.57 / $67.30	Professional		$45.76	$60.57	$67.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.19 / $50.19 / $62.92	Facility		$50.19	$50.19	$62.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $50.19 / $50.19	Professional		$50.19	$50.19	$50.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $42.41	Facility		$34.77	$34.77	$42.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $39.85	Professional		$25.38	$25.38	$39.85
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $48.77 / $48.77	Professional		$48.77	$48.77	$48.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $26.45 / $38.59	Professional		$16.70	$26.45	$38.59