Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.74 / $2,108.00 / $9,034.00	Facility		$790.74	$2,108.00	$9,034.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.80 / $593.12 / $906.36	Professional		$480.80	$593.12	$906.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $571.40 / $838.86 / $862.83	Professional		$571.40	$838.86	$862.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,027.36 / $3,027.36 / $3,632.83	Facility		$3,027.36	$3,027.36	$3,632.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.57 / $720.71 / $763.10	Professional		$576.57	$720.71	$763.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.09 / $702.28 / $1,976.35	Facility		$645.09	$702.28	$1,976.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $627.04 / $627.04 / $652.12	Professional		$627.04	$627.04	$652.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.20 / $3,019.20 / $3,019.20	Facility		$3,019.20	$3,019.20	$3,019.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.89 / $886.51 / $1,025.71	Professional		$582.89	$886.51	$1,025.71
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $657.11 / $927.69 / $1,036.35	Professional		$657.11	$927.69	$1,036.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $2,311.00 / $5,626.00	Facility		$1,240.00	$2,311.00	$5,626.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.00 / $719.61 / $1,015.15	Professional		$490.00	$719.61	$1,015.15