Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.37 / $725.37 / $725.37	Facility		$725.37	$725.37	$725.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.39 / $725.37 / $725.37	Professional		$551.39	$725.37	$725.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,044.04 / $1,044.04 / $1,044.04	Professional		$1,044.04	$1,044.04	$1,044.04
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 $1,126.61 / $1,491.12 / $1,656.80	Professional		$1,126.61	$1,491.12	$1,656.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,267.04 / $1,267.04 / $1,305.16	Facility		$1,267.04	$1,267.04	$1,305.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,267.04 / $1,267.04 / $1,267.04	Professional		$1,267.04	$1,267.04	$1,267.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.63 / $724.63 / $1,044.04	Facility		$724.63	$724.63	$1,044.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $724.63 / $1,019.57	Professional		$528.98	$724.63	$1,019.57
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,200.65 / $1,200.65 / $1,200.65	Professional		$1,200.65	$1,200.65	$1,200.65
United Facility/Professional Professional Modifier Low / Median / High Price $385.70 / $651.07 / $871.99	Professional		$385.70	$651.07	$871.99