Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,852.67 / $4,852.67 / $4,852.67	Facility		$4,852.67	$4,852.67	$4,852.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,688.65 / $4,852.67 / $4,852.67	Professional		$3,688.65	$4,852.67	$4,852.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6,984.51 / $6,984.51 / $6,984.51	Professional		$6,984.51	$6,984.51	$6,984.51
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 $7,537.00 / $9,975.45 / $11,083.83	Professional		$7,537.00	$9,975.45	$11,083.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,476.19 / $8,476.19 / $8,731.44	Facility		$8,476.19	$8,476.19	$8,731.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,476.19 / $8,476.19 / $8,476.19	Professional		$8,476.19	$8,476.19	$8,476.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $6,042.00 / $6,984.51	Facility		$6,042.00	$6,042.00	$6,984.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $6,042.00 / $6,820.82	Professional		$4,410.66	$6,042.00	$6,820.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $8,032.19 / $8,032.19 / $8,032.19	Professional		$8,032.19	$8,032.19	$8,032.19
United Facility/Professional Professional Modifier Low / Median / High Price $2,580.25 / $4,355.62 / $5,922.73	Professional		$2,580.25	$4,355.62	$5,922.73