Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $7,943.28 / $14,454.40	Facility		$67.61	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $165.96 / $457.09	Professional		$34.67	$165.96	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $199.53	Professional		$40.74	$64.57	$199.53
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 $43.65 / $85.11 / $199.53	Professional		$43.65	$85.11	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $295.12	Professional		$72.44	$117.49	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $102.33 / $1,230.27	Facility		$45.71	$102.33	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $776.25	Professional		$97.72	$199.53	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $194.98 / $295.12	Professional		$72.44	$194.98	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $229.09	Professional		$83.18	$117.49	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,230.27 / $4,466.84	Facility		$251.19	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $97.72 / $251.19	Professional		$50.12	$97.72	$251.19