Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.80 / $1,200.80 / $1,200.80	Facility		$1,200.80	$1,200.80	$1,200.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.07 / $1,200.80 / $1,200.80	Professional		$880.07	$1,200.80	$1,200.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,728.32 / $1,728.32 / $1,728.32	Professional		$1,728.32	$1,728.32	$1,728.32
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 $1,865.04 / $2,468.42 / $2,742.70	Professional		$1,865.04	$2,468.42	$2,742.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,124.12 / $2,124.12 / $2,124.12	Facility		$2,124.12	$2,124.12	$2,124.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,124.12 / $2,124.12 / $2,124.12	Professional		$2,124.12	$2,124.12	$2,124.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $1,728.32	Facility		$1,327.28	$1,327.28	$1,728.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $1,327.28 / $1,687.82	Professional		$968.91	$1,327.28	$1,687.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,987.57 / $1,987.57 / $1,987.57	Professional		$1,987.57	$1,987.57	$1,987.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,407.34 / $2,407.34 / $2,832.16	Facility		$2,407.34	$2,407.34	$2,832.16
United Facility/Professional Professional Modifier Low / Median / High Price $706.47 / $1,004.49 / $1,344.54	Professional		$706.47	$1,004.49	$1,344.54