Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.12 / $1,420.12 / $1,420.12	Facility		$1,420.12	$1,420.12	$1,420.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.36 / $1,420.12 / $1,420.12	Professional		$930.36	$1,420.12	$1,420.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,044.00 / $2,044.00 / $2,044.00	Professional		$2,044.00	$2,044.00	$2,044.00
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 $2,205.69 / $2,919.29 / $3,243.66	Professional		$2,205.69	$2,919.29	$3,243.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,172.39 / $2,172.39 / $2,273.55	Facility		$2,172.39	$2,172.39	$2,273.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,273.55 / $2,273.55 / $2,273.55	Professional		$2,273.55	$2,273.55	$2,273.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $2,044.00	Facility		$1,599.98	$1,599.98	$2,044.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,599.98 / $1,996.10	Professional		$1,167.99	$1,599.98	$1,996.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2,350.60 / $2,350.60 / $2,350.60	Professional		$2,350.60	$2,350.60	$2,350.60
United Facility/Professional Professional Modifier Low / Median / High Price $849.78 / $1,274.66 / $1,670.08	Professional		$849.78	$1,274.66	$1,670.08