Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,286.05 / $2,286.05 / $2,767.28	Professional		$2,286.05	$2,286.05	$2,767.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,493.53 / $3,493.53 / $3,493.53	Professional		$3,493.53	$3,493.53	$3,493.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149,999.85 / $399,999.60 / $999,999.00	Facility		$149,999.85	$399,999.60	$999,999.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,872.89 / $5,125.89 / $5,695.43	Professional		$3,872.89	$5,125.89	$5,695.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $451.26 / $451.26 / $488.08	Facility		$451.26	$451.26	$488.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $451.26 / $451.26 / $488.08	Professional		$451.26	$451.26	$488.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $3,165.30	Facility		$2,200.00	$2,200.00	$3,165.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.66 / $2,200.00 / $3,165.30	Professional		$354.66	$2,200.00	$3,165.30
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2,028.90 / $2,028.90 / $4,017.56	Professional		$2,028.90	$2,028.90	$4,017.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,508.92 / $2,263.38 / $3,629.57	Professional		$1,508.92	$2,263.38	$3,629.57