Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.13 / $5,150.39 / $14,196.19	Facility		$1,635.13	$5,150.39	$14,196.19
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,226.34 / $1,283.64 / $1,465.45	Facility	54	$1,226.34	$1,283.64	$1,465.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.13 / $1,401.08 / $2,140.30	Professional		$1,159.13	$1,401.08	$2,140.30
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $157.63 / $510.72 / $1,130.50	Professional	AS	$157.63	$510.72	$1,130.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.36 / $1,943.71 / $2,154.04	Professional		$268.36	$1,943.71	$2,154.04
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 $1,350.54 / $1,688.18 / $1,787.48	Professional		$1,350.54	$1,688.18	$1,787.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,524.19 / $1,661.79 / $4,970.00	Facility		$1,524.19	$1,661.79	$4,970.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,483.74 / $1,483.74 / $1,543.09	Professional		$1,483.74	$1,483.74	$1,543.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,470.26 / $2,160.44 / $2,592.53	Professional		$1,470.26	$2,160.44	$2,592.53
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $308.61 / $2,204.41 / $2,437.82	Professional		$308.61	$2,204.41	$2,437.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,896.00 / $5,749.00 / $12,152.00	Facility		$2,896.00	$5,749.00	$12,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,231.10 / $1,779.19 / $2,545.19	Professional		$1,231.10	$1,779.19	$2,545.19