Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,365.16 / $11,481.54	Facility		$1,698.24	$4,365.16	$11,481.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $23,988.33 / $23,988.33 / $23,988.33	Facility	50	$23,988.33	$23,988.33	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $3,388.44	Professional		$1,148.15	$1,479.11	$3,388.44
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $162.18 / $239.88 / $588.84	Professional	AS	$162.18	$239.88	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,122.02 / $1,905.46	Professional		$158.49	$1,122.02	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $18,197.01	Facility		$13,182.57	$13,182.57	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,778.28	Professional		$1,348.96	$1,348.96	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $5,011.87	Facility		$1,659.59	$1,659.59	$5,011.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $2,570.40	Professional		$1,071.52	$2,089.30	$2,570.40
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,949.84 / $2,290.87	Professional		$263.03	$1,949.84	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,762.47 / $19,498.45	Facility		$3,715.35	$7,762.47	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,511.89	Professional		$1,230.27	$1,659.59	$2,511.89