Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,654.67 / $1,654.67 / $1,654.67	Professional		$1,654.67	$1,654.67	$1,654.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Professional		$2,000.00	$2,000.00	$2,000.00
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 $2,728.13 / $3,610.76 / $4,011.96	Professional		$2,728.13	$3,610.76	$4,011.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.81 / $2,349.31 / $3,160.19	Facility		$310.81	$2,349.31	$3,160.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $310.81 / $2,349.31 / $3,132.48	Professional		$310.81	$2,349.31	$3,132.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,662.03 / $1,786.79 / $1,786.79	Facility		$1,662.03	$1,786.79	$1,786.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.77 / $1,786.79 / $2,345.16	Professional		$1,518.77	$1,786.79	$2,345.16
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2,300.00 / $2,300.00 / $2,300.00	Professional		$2,300.00	$2,300.00	$2,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.40 / $1,469.33 / $2,102.88	Professional		$893.40	$1,469.33	$2,102.88