Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.00 / $2,821.00 / $16,326.07	Facility		$1,342.00	$2,821.00	$16,326.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.39 / $1,510.39 / $2,264.62	Professional		$1,275.39	$1,510.39	$2,264.62
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $400.86 / $400.86 / $400.86	Professional	AS	$400.86	$400.86	$400.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $314.41 / $2,055.71 / $2,311.83	Professional		$314.41	$2,055.71	$2,311.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,270.34 / $13,270.34 / $15,924.41	Facility		$13,270.34	$13,270.34	$15,924.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,521.53 / $1,901.91 / $2,013.79	Professional		$1,521.53	$1,901.91	$2,013.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,712.19 / $1,867.47 / $5,329.98	Facility		$1,712.19	$1,867.47	$5,329.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,667.39 / $1,667.39 / $1,734.08	Professional		$1,667.39	$1,667.39	$1,734.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.56 / $2,248.01 / $2,670.89	Professional		$1,576.56	$2,248.01	$2,670.89
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $342.11 / $2,364.08 / $2,658.60	Professional		$342.11	$2,364.08	$2,658.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,896.00 / $5,455.00 / $12,000.00	Facility		$2,896.00	$5,455.00	$12,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,358.28 / $1,675.79 / $2,704.08	Professional		$1,358.28	$1,675.79	$2,704.08