Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,620.91 / $1,620.91 / $1,620.91	Facility		$1,620.91	$1,620.91	$1,620.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.47 / $1,620.91 / $1,620.91	Professional		$994.47	$1,620.91	$1,620.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,333.00 / $2,333.00 / $2,333.00	Professional		$2,333.00	$2,333.00	$2,333.00
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 $2,517.54 / $3,332.04 / $3,702.27	Professional		$2,517.54	$3,332.04	$3,702.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,398.96 / $2,398.96 / $2,863.38	Facility		$2,398.96	$2,398.96	$2,863.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,398.96 / $2,398.96 / $2,398.96	Professional		$2,398.96	$2,398.96	$2,398.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $2,333.00	Facility		$1,800.00	$1,800.00	$2,333.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,800.00 / $2,278.32	Professional		$1,314.00	$1,800.00	$2,278.32
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2,682.95 / $2,682.95 / $2,682.95	Professional		$2,682.95	$2,682.95	$2,682.95
United Facility/Professional Professional Modifier Low / Median / High Price $760.04 / $1,454.89 / $1,756.79	Professional		$760.04	$1,454.89	$1,756.79