Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.44 / $1,029.44 / $1,029.44	Facility		$1,029.44	$1,029.44	$1,029.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.44 / $1,029.44 / $1,029.44	Professional		$767.44	$1,029.44	$1,029.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,481.68 / $1,481.68 / $1,481.68	Professional		$1,481.68	$1,481.68	$1,481.68
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 $1,598.88 / $2,116.17 / $2,351.30	Professional		$1,598.88	$2,116.17	$2,351.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,798.13 / $1,798.13 / $1,852.28	Facility		$1,798.13	$1,798.13	$1,852.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,798.13 / $1,798.13 / $1,798.13	Professional		$1,798.13	$1,798.13	$1,798.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,028.38 / $1,028.38 / $1,481.68	Facility		$1,028.38	$1,028.38	$1,481.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.72 / $750.72 / $1,391.88	Professional		$750.72	$750.72	$1,391.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,703.93 / $1,703.93 / $1,703.93	Professional		$1,703.93	$1,703.93	$1,703.93
United Facility/Professional Professional Modifier Low / Median / High Price $547.38 / $854.32 / $1,201.47	Professional		$547.38	$854.32	$1,201.47