Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,533.01 / $1,533.01 / $1,533.01	Facility		$1,533.01	$1,533.01	$1,533.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.10 / $1,533.01 / $1,533.01	Professional		$1,035.10	$1,533.01	$1,533.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,206.48 / $2,206.48 / $2,206.48	Professional		$2,206.48	$2,206.48	$2,206.48
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 $2,381.03 / $3,151.36 / $3,501.51	Professional		$2,381.03	$3,151.36	$3,501.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,378.58 / $2,378.58 / $2,605.29	Facility		$2,378.58	$2,378.58	$2,605.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,378.58 / $2,378.58 / $2,378.58	Professional		$2,378.58	$2,378.58	$2,378.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,486.28 / $1,486.28 / $2,206.48	Facility		$1,486.28	$1,486.28	$2,206.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.98 / $1,486.28 / $2,154.78	Professional		$1,084.98	$1,486.28	$2,154.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2,537.46 / $2,537.46 / $2,537.46	Professional		$2,537.46	$2,537.46	$2,537.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,428.89 / $1,428.89 / $1,428.89	Facility		$1,428.89	$1,428.89	$1,428.89
United Facility/Professional Professional Modifier Low / Median / High Price $791.10 / $1,375.99 / $1,828.59	Professional		$791.10	$1,375.99	$1,828.59