Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.17 / $691.17 / $691.17	Facility		$691.17	$691.17	$691.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.25 / $691.17 / $691.17	Professional		$515.25	$691.17	$691.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $994.80 / $994.80 / $994.80	Professional		$994.80	$994.80	$994.80
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 $1,073.50 / $1,420.80 / $1,578.67	Professional		$1,073.50	$1,420.80	$1,578.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,207.24 / $1,207.24 / $1,243.59	Facility		$1,207.24	$1,207.24	$1,243.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,207.24 / $1,207.24 / $1,207.24	Professional		$1,207.24	$1,207.24	$1,207.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $994.80	Facility		$756.07	$756.07	$994.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $756.07 / $971.49	Professional		$551.92	$756.07	$971.49
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,144.02 / $1,144.02 / $1,144.02	Professional		$1,144.02	$1,144.02	$1,144.02
United Facility/Professional Professional Modifier Low / Median / High Price $367.59 / $578.16 / $747.58	Professional		$367.59	$578.16	$747.58