Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.85 / $995.85 / $995.85	Facility		$995.85	$995.85	$995.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.00 / $995.85 / $996.99	Professional		$749.00	$995.85	$996.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,433.34 / $1,433.34 / $1,433.34	Professional		$1,433.34	$1,433.34	$1,433.34
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 $1,546.71 / $2,047.12 / $2,274.58	Professional		$1,546.71	$2,047.12	$2,274.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,807.78 / $1,807.78 / $1,875.14	Facility		$1,807.78	$1,807.78	$1,875.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,875.14 / $1,875.14 / $1,875.14	Professional		$1,875.14	$1,875.14	$1,875.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $1,433.34	Facility		$1,037.25	$1,037.25	$1,433.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $1,037.25 / $1,399.74	Professional		$757.19	$1,037.25	$1,399.74
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,648.34 / $1,648.34 / $1,648.34	Professional		$1,648.34	$1,648.34	$1,648.34
United Facility/Professional Professional Modifier Low / Median / High Price $552.10 / $833.05 / $1,313.43	Professional		$552.10	$833.05	$1,313.43