Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,566.88 / $2,566.88 / $2,566.88	Facility		$2,566.88	$2,566.88	$2,566.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,716.71 / $2,566.88 / $2,566.88	Professional		$1,716.71	$2,566.88	$2,566.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,694.54 / $3,694.54 / $3,694.54	Professional		$3,694.54	$3,694.54	$3,694.54
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 $3,986.78 / $5,276.62 / $5,862.91	Professional		$3,986.78	$5,276.62	$5,862.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,944.84 / $3,944.84 / $4,785.63	Facility		$3,944.84	$3,944.84	$4,785.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,944.84 / $3,944.84 / $3,944.84	Professional		$3,944.84	$3,944.84	$3,944.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $3,694.54	Facility		$2,481.10	$2,481.10	$3,694.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $2,481.10 / $3,607.94	Professional		$1,811.20	$2,481.10	$3,607.94
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $4,248.72 / $4,248.72 / $4,248.72	Professional		$4,248.72	$4,248.72	$4,248.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.35 / $2,600.65 / $2,624.05	Facility		$1,516.35	$2,600.65	$2,624.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.02 / $2,303.94 / $3,032.69	Professional		$1,312.02	$2,303.94	$3,032.69