Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.41 / $3,726.93 / $12,036.14	Facility		$254.41	$3,726.93	$12,036.14
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $44.54 / $60.32 / $322.52	Facility	52	$44.54	$60.32	$322.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $190.68 / $538.00	Professional		$89.08	$190.68	$538.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $80.84 / $180.37	Professional		$80.84	$80.84	$180.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,255.69 / $1,651.58 / $3,194.68	Facility		$1,255.69	$1,651.58	$3,194.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $170.55 / $241.47	Professional		$94.79	$170.55	$241.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.21 / $278.52 / $374.89	Professional		$107.21	$278.52	$374.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.65 / $211.12 / $665.60	Facility		$95.65	$211.12	$665.60
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $354.86 / $354.86 / $354.86	Facility	52	$354.86	$354.86	$354.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.21 / $271.70 / $967.36	Professional		$154.21	$271.70	$967.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $239.49 / $350.69	Facility		$143.26	$239.49	$350.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $250.51 / $348.80	Professional		$181.00	$250.51	$348.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.21 / $265.36 / $305.22	Professional		$154.21	$265.36	$305.22