Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,998.05 / $1,998.05 / $1,998.05	Facility		$1,998.05	$1,998.05	$1,998.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,539.66 / $1,998.05 / $1,998.05	Professional		$1,539.66	$1,998.05	$1,998.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,875.82 / $2,875.82 / $2,875.82	Professional		$2,875.82	$2,875.82	$2,875.82
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 $3,103.30 / $4,107.31 / $4,563.68	Professional		$3,103.30	$4,107.31	$4,563.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,595.12 / $3,595.12 / $3,846.56	Facility		$3,595.12	$3,595.12	$3,846.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,846.56 / $3,846.56 / $3,846.56	Professional		$3,846.56	$3,846.56	$3,846.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $2,875.82	Facility		$2,160.07	$2,160.07	$2,875.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $2,160.07 / $2,808.42	Professional		$1,576.85	$2,160.07	$2,808.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $3,307.19 / $3,307.19 / $3,307.19	Professional		$3,307.19	$3,307.19	$3,307.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,149.74 / $1,793.39 / $2,639.52	Professional		$1,149.74	$1,793.39	$2,639.52