Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.74 / $1,000.74 / $1,000.74	Facility		$1,000.74	$1,000.74	$1,000.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.74 / $1,000.74 / $1,000.74	Professional		$530.74	$1,000.74	$1,000.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,440.38 / $1,440.38 / $1,440.38	Professional		$1,440.38	$1,440.38	$1,440.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219,999.78 / $539,999.46 / $949,999.05	Facility		$219,999.78	$539,999.46	$949,999.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,554.31 / $2,057.17 / $2,285.75	Professional		$1,554.31	$2,057.17	$2,285.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,748.01 / $1,748.01 / $1,800.63	Facility		$1,748.01	$1,748.01	$1,800.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,748.01 / $1,748.01 / $1,748.01	Professional		$1,748.01	$1,748.01	$1,748.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.20 / $1,162.20 / $1,440.38	Facility		$1,162.20	$1,162.20	$1,440.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $1,162.20 / $1,406.62	Professional		$848.41	$1,162.20	$1,406.62
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,656.44 / $1,656.44 / $1,656.44	Professional		$1,656.44	$1,656.44	$1,656.44
United Facility/Professional Professional Modifier Low / Median / High Price $532.11 / $811.03 / $1,082.46	Professional		$532.11	$811.03	$1,082.46