Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.54 / $107.54 / $107.54	Facility		$107.54	$107.54	$107.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $107.54 / $107.54	Professional		$80.16	$107.54	$107.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.77 / $154.77 / $154.77	Professional		$154.77	$154.77	$154.77
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 $167.01 / $221.05 / $245.61	Professional		$167.01	$221.05	$245.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.82 / $187.82 / $193.47	Facility		$187.82	$187.82	$193.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $187.82 / $187.82 / $187.82	Professional		$187.82	$187.82	$187.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $154.77	Facility		$107.42	$107.42	$154.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $107.42 / $151.13	Professional		$78.42	$107.42	$151.13
United Facility/Professional Facility Modifier Low / Median / High Price $66.08 / $85.00 / $85.76	Facility		$66.08	$85.00	$85.76
United Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $87.14 / $116.31	Professional		$57.18	$87.14	$116.31