Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.75 / $616.75 / $616.75	Facility		$616.75	$616.75	$616.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.77 / $616.75 / $616.75	Professional		$459.77	$616.75	$616.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $887.70 / $887.70 / $887.70	Professional		$887.70	$887.70	$887.70
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 $957.92 / $1,267.83 / $1,408.71	Professional		$957.92	$1,267.83	$1,408.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,077.28 / $1,077.28 / $1,109.71	Facility		$1,077.28	$1,077.28	$1,109.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,077.28 / $1,077.28 / $1,077.28	Professional		$1,077.28	$1,077.28	$1,077.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $887.70	Facility		$616.27	$616.27	$887.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $616.27 / $866.90	Professional		$449.88	$616.27	$866.90
United Facility/Professional Professional Modifier Low / Median / High Price $328.02 / $528.89 / $780.35	Professional		$328.02	$528.89	$780.35