Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.55 / $594.55 / $594.55	Facility		$594.55	$594.55	$594.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.92 / $594.55 / $594.55	Professional		$415.92	$594.55	$594.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $855.75 / $855.75 / $855.75	Professional		$855.75	$855.75	$855.75
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 $923.45 / $1,222.21 / $1,358.01	Professional		$923.45	$1,222.21	$1,358.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,003.85 / $1,003.85 / $1,120.08	Facility		$1,003.85	$1,003.85	$1,120.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,120.08 / $1,120.08 / $1,120.08	Professional		$1,120.08	$1,120.08	$1,120.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.26 / $627.26 / $855.75	Facility		$627.26	$627.26	$855.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $457.90 / $803.88	Professional		$457.90	$457.90	$803.88
United Facility/Professional Facility Modifier Low / Median / High Price $385.87 / $496.34 / $500.81	Facility		$385.87	$496.34	$500.81
United Facility/Professional Professional Modifier Low / Median / High Price $333.87 / $497.64 / $675.14	Professional		$333.87	$497.64	$675.14