Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.04 / $692.04 / $692.04	Facility		$692.04	$692.04	$692.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.15 / $692.04 / $692.04	Professional		$403.15	$692.04	$692.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $996.06 / $996.06 / $996.06	Professional		$996.06	$996.06	$996.06
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 $1,074.83 / $1,422.58 / $1,580.64	Professional		$1,074.83	$1,422.58	$1,580.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $941.35 / $941.35 / $1,017.08	Facility		$941.35	$941.35	$1,017.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,017.08 / $1,017.08 / $1,017.08	Professional		$1,017.08	$1,017.08	$1,017.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $996.06	Facility		$583.49	$583.49	$996.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $583.49 / $972.70	Professional		$425.95	$583.49	$972.70
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,145.47 / $1,145.47 / $1,145.47	Professional		$1,145.47	$1,145.47	$1,145.47
United Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Facility		$466.72	$466.72	$466.72
United Facility/Professional Professional Modifier Low / Median / High Price $310.58 / $621.15 / $747.04	Professional		$310.58	$621.15	$747.04