Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.08 / $1,209.08 / $1,209.08	Facility		$1,209.08	$1,209.08	$1,209.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.06 / $1,209.08 / $1,209.08	Professional		$919.06	$1,209.08	$1,209.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,740.25 / $1,740.25 / $1,740.25	Professional		$1,740.25	$1,740.25	$1,740.25
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 $1,877.91 / $2,485.46 / $2,761.63	Professional		$1,877.91	$2,485.46	$2,761.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,111.91 / $2,111.91 / $2,175.54	Facility		$2,111.91	$2,111.91	$2,175.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,111.91 / $2,111.91 / $2,111.91	Professional		$2,111.91	$2,111.91	$2,111.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $1,740.25	Facility		$1,207.83	$1,207.83	$1,740.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $1,207.83 / $1,699.46	Professional		$881.72	$1,207.83	$1,699.46
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2,001.29 / $2,001.29 / $2,001.29	Professional		$2,001.29	$2,001.29	$2,001.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $642.89 / $1,085.24 / $1,453.47	Professional		$642.89	$1,085.24	$1,453.47