Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,883.90 / $1,883.90 / $1,883.90	Facility		$1,883.90	$1,883.90	$1,883.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,451.57 / $1,883.90 / $1,883.90	Professional		$1,451.57	$1,883.90	$1,883.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,711.53 / $2,711.53 / $2,711.53	Professional		$2,711.53	$2,711.53	$2,711.53
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 $2,926.01 / $3,872.66 / $4,302.96	Professional		$2,926.01	$3,872.66	$4,302.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,389.41 / $3,389.41 / $3,508.65	Facility		$3,389.41	$3,389.41	$3,508.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,508.65 / $3,508.65 / $3,508.65	Professional		$3,508.65	$3,508.65	$3,508.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $2,117.90 / $2,711.53	Facility		$2,117.90	$2,117.90	$2,711.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $1,546.07 / $2,547.16	Professional		$1,546.07	$1,546.07	$2,547.16
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $3,118.26 / $3,118.26 / $3,118.26	Professional		$3,118.26	$3,118.26	$3,118.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.29 / $1,690.94 / $2,605.67	Professional		$1,127.29	$1,690.94	$2,605.67