Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,839.86 / $1,839.86 / $1,839.86	Facility		$1,839.86	$1,839.86	$1,839.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.26 / $1,839.86 / $1,839.86	Professional		$1,199.26	$1,839.86	$1,839.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,648.13 / $2,648.13 / $2,648.13	Professional		$2,648.13	$2,648.13	$2,648.13
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 $2,857.60 / $3,782.12 / $4,202.35	Professional		$2,857.60	$3,782.12	$4,202.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,755.79 / $2,755.79 / $3,301.52	Facility		$2,755.79	$2,755.79	$3,301.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,755.79 / $2,755.79 / $2,755.79	Professional		$2,755.79	$2,755.79	$2,755.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $1,721.98 / $2,648.13	Facility		$1,721.98	$1,721.98	$2,648.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,721.98 / $2,586.06	Professional		$1,257.05	$1,721.98	$2,586.06
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $3,045.35 / $3,045.35 / $3,045.35	Professional		$3,045.35	$3,045.35	$3,045.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,123.22 / $3,123.22 / $3,674.38	Facility		$3,123.22	$3,123.22	$3,674.38
United Facility/Professional Professional Modifier Low / Median / High Price $916.56 / $1,651.40 / $2,118.58	Professional		$916.56	$1,651.40	$2,118.58