Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.39 / $1,876.19 / $8,158.14	Facility		$1,128.39	$1,876.19	$8,158.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.38 / $1,122.53 / $1,676.83	Professional		$934.38	$1,122.53	$1,676.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.80 / $1,569.40 / $1,692.59	Professional		$223.80	$1,569.40	$1,692.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,727.30 / $6,727.30 / $8,072.76	Facility		$6,727.30	$6,727.30	$8,072.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,129.19 / $1,411.49 / $1,494.52	Professional		$1,129.19	$1,411.49	$1,494.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,267.06 / $1,381.32 / $3,852.98	Facility		$1,267.06	$1,381.32	$3,852.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,233.33 / $1,233.33 / $1,282.66	Professional		$1,233.33	$1,233.33	$1,282.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,926.18 / $4,926.18 / $4,926.18	Facility		$4,926.18	$4,926.18	$4,926.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.60 / $1,652.01 / $1,980.11	Professional		$1,099.60	$1,652.01	$1,980.11
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $253.52 / $1,804.81 / $2,032.99	Professional		$253.52	$1,804.81	$2,032.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $4,334.00 / $8,676.00	Facility		$2,104.00	$4,334.00	$8,676.00
United Facility/Professional Professional Modifier Low / Median / High Price $983.21 / $1,209.49 / $2,002.25	Professional		$983.21	$1,209.49	$2,002.25