Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,451.32 / $2,451.32 / $2,451.32	Facility		$2,451.32	$2,451.32	$2,451.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,863.33 / $2,451.32 / $2,451.32	Professional		$1,863.33	$2,451.32	$2,451.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,528.21 / $3,528.21 / $3,528.21	Professional		$3,528.21	$3,528.21	$3,528.21
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 $3,807.29 / $5,039.06 / $5,598.96	Professional		$3,807.29	$5,039.06	$5,598.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,281.76 / $4,281.76 / $4,410.70	Facility		$4,281.76	$4,281.76	$4,410.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,281.76 / $4,281.76 / $4,281.76	Professional		$4,281.76	$4,281.76	$4,281.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $2,448.80 / $3,528.21	Facility		$2,448.80	$2,448.80	$3,528.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $2,448.80 / $3,445.51	Professional		$1,787.62	$2,448.80	$3,445.51
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $4,057.44 / $4,057.44 / $4,057.44	Professional		$4,057.44	$4,057.44	$4,057.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,466.82 / $2,200.23 / $3,012.78	Professional		$1,466.82	$2,200.23	$3,012.78