Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,699.08 / $2,699.08 / $2,699.08	Facility		$2,699.08	$2,699.08	$2,699.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,051.64 / $2,699.08 / $2,699.08	Professional		$2,051.64	$2,699.08	$2,699.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,911.65 / $2,911.65 / $2,911.65	Professional		$2,911.65	$2,911.65	$2,911.65
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 $4,192.10 / $5,548.38 / $6,164.87	Professional		$4,192.10	$5,548.38	$6,164.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,714.47 / $4,714.47 / $4,856.45	Facility		$4,714.47	$4,714.47	$4,856.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,714.47 / $4,714.47 / $4,714.47	Professional		$4,714.47	$4,714.47	$4,714.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $3,884.82	Facility		$2,886.72	$2,886.72	$3,884.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,886.72 / $3,793.77	Professional		$2,107.31	$2,886.72	$3,793.77
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $3,348.40 / $3,348.40 / $3,348.40	Professional		$3,348.40	$3,348.40	$3,348.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,890.35 / $4,890.35 / $5,753.36	Facility		$4,890.35	$4,890.35	$5,753.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,435.14 / $2,422.62 / $3,244.65	Professional		$1,435.14	$2,422.62	$3,244.65