Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,187.76 / $8,511.38	Facility		$562.34	$2,187.76	$8,511.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	52	$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $208.93 / $537.03	Professional		$93.33	$208.93	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $213.80	Professional		$81.28	$117.49	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $3,162.28	Facility		$1,258.93	$1,621.81	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $239.88	Professional		$100.00	$165.96	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $251.19 / $371.54	Professional		$107.15	$251.19	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $199.53 / $660.69	Facility		$95.50	$199.53	$660.69
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	52	$354.81	$354.81	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $977.24	Professional		$147.91	$263.03	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $371.54	Professional		$213.80	$288.40	$371.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $295.12	Professional		$213.80	$288.40	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,230.27 / $4,466.84	Facility		$501.19	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $302.00	Professional		$112.20	$199.53	$302.00