Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,548.82 / $3,090.30	Facility		$537.03	$1,548.82	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $912.01 / $2,630.27	Professional		$380.19	$912.01	$2,630.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $2,089.30	Professional		$338.84	$602.56	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $9,120.11	Facility		$6,760.83	$6,760.83	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $3,311.31	Professional		$467.74	$616.60	$3,311.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $3,311.31	Professional		$436.52	$851.14	$3,311.31
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $707.95	Professional		$691.83	$691.83	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,495.41 / $13,182.57	Facility		$2,089.30	$5,495.41	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,202.26 / $2,884.03	Professional		$389.05	$1,202.26	$2,884.03