Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.02 / $1,134.02 / $1,134.02	Facility		$1,134.02	$1,134.02	$1,134.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.42 / $1,134.02 / $1,134.02	Professional		$715.42	$1,134.02	$1,134.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,149.21 / $1,149.21 / $1,149.21	Professional		$1,149.21	$1,149.21	$1,149.21
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 $1,240.10 / $1,641.32 / $1,823.69	Professional		$1,240.10	$1,641.32	$1,823.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,077.38 / $1,077.38 / $1,077.38	Facility		$1,077.38	$1,077.38	$1,077.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,077.38 / $1,077.38 / $1,077.38	Professional		$1,077.38	$1,077.38	$1,077.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.14 / $517.14 / $1,079.55	Professional		$517.14	$517.14	$1,079.55
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,321.59 / $1,321.59 / $1,321.59	Professional		$1,321.59	$1,321.59	$1,321.59
United Facility/Professional Professional Modifier Low / Median / High Price $358.33 / $647.08 / $861.91	Professional		$358.33	$647.08	$861.91